Introduction: Pseudoaneurysms of the tibioperoneal trunk are rare and can be limb threatening. There are various treatment options to seal pseudoaneuryms both percutaneously and via open surgery. Case report: Description of the case of a large tibioperoneal trunk pseudoaneurysm that has been successfully treated by coil embolization in a patient with a previous endocarditys. Conclusion: Endovascular treatment of pseudoaneurysm should be considered as an alternative treatment option to open surgery. (C) 2010 Wiley-Liss, Inc.