A 56-year-old man with past medical history of hypertension on treatment with valsartan and left fibula fracture 15 years ago, presented with a 2-month history of paresthesia on the left lower limb after working many hours on a vineyard in a squatting position. During the physical exam, the patient presented symmetric pulses on all extremities and a palpable, pulsatile mass on the left popliteal fossa. CT scan showed a patent popliteal artery with a saccular aneurysm of 37 millimeters in diameter (Figure 1), which was confirmed intraoperatively (Figure 2). A popliteal-popliteal bypass was done with the left great saphenous vein through a posterior approach (Figure 3). Blood, arterial wall and thrombus cultures were negative. Pathology confirmed diagnosis of pseudoaneurysm and no malignant cells were present. At 12-month follow-up the patient is asymptomatic with good distal pulses and no signs of bypass restenosis on ultrasound. The incidence of popliteal artery aneurysm is 0.1-1% [1], while traumatic pseudoaneurysm represents 0-3.5% of all popliteal aneurysms.
Keywords:
Published on: Nov 25, 2015 Pages: 14-15
Full Text PDF
Full Text HTML
DOI: 10.17352/2455-5452.000006
CrossMark
Publons
Harvard Library HOLLIS
Search IT
Semantic Scholar
Get Citation
Base Search
Scilit
OAI-PMH
ResearchGate
Academic Microsoft
GrowKudos
Universite de Paris
UW Libraries
SJSU King Library
SJSU King Library
NUS Library
McGill
DET KGL BIBLiOTEK
JCU Discovery
Universidad De Lima
WorldCat
VU on WorldCat
PTZ: We're glad you're here. Please click "create a new query" if you are a new visitor to our website and need further information from us.
If you are already a member of our network and need to keep track of any developments regarding a question you have already submitted, click "take me to my Query."