Isolated true aneurysm of the dorsal pedis artery

A 48 years old man presented at our vascular department with a pulsatile mass on the left forefoot. The clinical examination showed a palpable painless pulsative aneurysm of the dorsal pedis artery. Signs of peripheral embolization or inflammation are not presented. The duplex ultrasound obtained an 1,7 x 1,2 cm  partial thrombosed non arteriosclerotic aneurysm of the ADP with an normal thriphasic velocity waveform. We manage the aneurysm through a completely resection and reconstruction with an interposition vein graft The operative procedure remained uneventful.  The patient was discharged on the 3th postoperative day. In the 4week follow-up the patient had no complains, the wounds were healed, and the interposition graft was open.