Surgical Treatment for Acute Ischemia Caused by Bilateral Popliteal Artery Entrapment Syndrome in an Elderly Patient: Report of a Case
| Autor: | Takashi Koyama, Takaki Sugimoto, Masahiko Umeki, Hironobu Nishikawa, Takeshi Hatta, Hiromi Maeda, Sigeru Kurisu |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Arteriogram Endarterectomy Gastrocnemius muscle Ischemia medicine.artery Humans Medicine Popliteal Artery Surgical treatment Aged Thrombectomy Leg medicine.diagnostic_test business.industry Angiography Digital Subtraction General Medicine Popliteal artery entrapment syndrome medicine.disease Popliteal artery Surgery Tibial Arteries medicine.anatomical_structure Angiography business Vascular Surgical Procedures Artery |
| Zdroj: | Surgery Today. 32:1102-1105 |
| ISSN: | 0941-1291 |
| DOI: | 10.1007/s005950200224 |
| Popis: | We report the unusual case of a 73-year-old man who underwent surgery for bilateral popliteal artery entrapment syndrome (PAES). A medial approach was used to operate on the left leg, and the vein bypass was made from the superficial femoral artery to the crural artery through a subfascial route. A posterior approach was used to operate on the right leg and it was found that the mid-popliteal artery passed medial to and beneath the medial head of the gastrocnemius muscle and was severely compressed by an accessory slip of muscle. The vein bypass from the above-knee to below-knee popliteal artery was established through the original route after resection of the accessory slip of muscle. A postoperative arteriogram showed good bypass flow to the bilateral crural arteries. To our knowledge, this case represents the oldest patient with this disorder to be treated by surgery. |
| Databáze: | OpenAIRE |
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