Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage

Autor: Aman Berry Williams
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Vascular Medicine, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6986
2090-6994
DOI: 10.1155/2020/2403280
Popis: Popliteal artery entrapment syndrome (PAES) is a rare cause of limb-threatening vascular disease. Usually, it arises from aberrant embryological development or acquired dysfunctionality of the popliteal artery and its surrounding musculotendinous structures in the popliteal fossa. Here, we present a case report of a young woman with relatively sudden-onset short-distance claudication and paraesthesia affecting her right leg primarily. She had no recent traumatic history and no atherosclerotic risk factors and was otherwise previously very active. She had a feeble right popliteal artery pulse and no foot pulses. Nerve conduction studies demonstrated no electrophysiological abnormalities. Following computed tomography angiography and magnetic resonance imaging, it was determined she had type 2 PAES. Subsequently, the patient underwent surgical division of a lateralised head of her medial gastrocnemius, resection of her fibrosed popliteal artery, and repair with a reversed long saphenous vein interposition graft. Following surgery, her symptoms resolved, and she remains on aspirin and ultrasound surveillance.
Databáze: Directory of Open Access Journals
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