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INTERNATIONAL ANGIOLOGY

A Journal on Angiology


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2010 February;29(1):83-6

language: English

Thrombosed popliteal aneurysm - first manifestation of bilateral popliteal entrapment syndrome

Ferreira J. 1, Canedo A. 1, Graça S. 2, Braga S. 1, Maia M. 1, Brandão D. 1, Monteiro P. 1, Martins V. 1, Brandão P. 1, Vaz G. 1

1 Department of Angiology and Vascular Surgery; Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal;
2 Department of General Surgery; Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal


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Popliteal artery entrapment syndrome is a rare and underdiagnosed cause of claudication in the young adult. One of its rare and potentially limb threatening complications is aneurysmal degeneration. We present a case of a fifty years old man with a bilateral popliteal entrapment syndrome admitted with an acutely thrombosed aneurysm at the right inferior limb. An urgent bypass was required. The contralateral limb presented with a type III entrapment and an elective section of a musculotendinous structure was performed. This case suggests that an early diagnosis is mandatory to avoid a dramatic clinical outcome and to limit the surgical treatment to a myotomy.

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