Case reports   

International Angiology 2010 February;29(1):83-6

Copyright © 2010 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

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.