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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.