CASE REPORT  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2001 December;42(6):817-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Popliteal artery entrapment syndrome. Reconstruction of the transected medial head of the gastrocnemius muscle

Akimaro Kudo F., Nishibe T., Yasuda K., Oka J., Miyazaki K., Flores J., Murashita T., Yasuda K.

From the Department of Cardiovascular Surgery *Department of Advanced Surgery Section of Medical Bioengineering and Sports Medicine Hokkaido University School of Medicine, Hokkaido, Japan

Pop­li­teal ­artery entrap­ment syn­drome (­PAES) is an ­uncommon ­cause of arte­rial insuf­fi­ciency, espe­cially in ­younger, ath­letic ­patients. Sur­gical treat­ment ­should be per­formed in all ­cases of ­PAES ­whether the ­artery is ­occluded or not. ­Although tran­sec­tion of the com­pressing ­muscle or fas­cial ­band is ­required to ­obtain ­good ­results, con­tro­versy ­exists ­about recon­struc­tion of the tran­sected ­muscle or fas­cial ­band. We ­present a ­case of a ­young ath­lete ­with ­PAES for ­whom ­rapid ­recovery of the ath­letic ­activity was pro­vided by recon­struc­tion of the ­divided ­medial ­head of the gas­troc­ne­mius ­muscle.