Popliteal Artery Aneurysms
- 1 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 2 General Surgery Department, Hospital BSS, Kati, Mali
- 3 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 4 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 5 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 6 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 7 Reference Health Center of Commune VI, Bamako, Mali
- 8 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 9 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 10 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
- 11 General Surgery “A” Department, Hospital Point-G, Bamako, Mali
Abstract
A popliteal artery aneurysm is defined as a dilation of the popliteal artery greater than 20 mm, or greater than 50% at diameter of the native artery. Popliteal artery aneurysms are rare, but are most common in the lower extremities. These aneurysms have a high risk of ischemic complications and amputations even in unoperated patients. We describe the case of a 54-year-old man, hypertensive, with a large popliteal artery aneurysm. Doppler ultrasound and CT angiography of the lower limbs showed a 100 × 80 mm aneurysm of the popliteal artery. This aneurysm is responsible for venous compression with edema of the tissues under the skin. The patient was treated and a flattening of the aneurysm associated with bypass by the inverted right internal saphenous vein taken from the ipsilateral leg was performed. The patient was discharged on the 6th day of the operation. The patient was seen again at the outpatient clinic for one month and in the 3rd month an arterial Doppler ultrasound of the lower limbs performed had shown patency of the venous graft and disappearance of the intermittent claudication.
- Labrousse, F. (1812) Dissertation sur l’anévrisme de l’artère poplitée, suivie d’une observation propre à l’auteur. Thèse de médecine No. 37, Faculté de Médecine de Paris, 26 mars, Vibrac.
- Lecorps de Tessy, G.-P. (1827) De l’anévrisme spontanée de l’artèrepoplitée. Thèse de Médecine No. 192, Faculté de Médecine de Paris, 4 août.
- van Ouwenaller, F., Corpataux, J.-M., Deglise, S. and Marty, B. (2015) Expérience monocentrique sur 5 ans de la chirurgie ouverte et du traitement endovasculaire dans la prise en charge des anévrismes de l’artère poplitée. Mémoire de Maitrise en médecine No. 1842. Université de Lausane, Faculté de biologie et de médecine.
- Ficelle, J.-M. and Cormier, F. (2007) Indications thérapeutiques des anévrismes poplités. Clinique Bizet, 23, rue Bizet, 75116 Paris, France. Actualités et perfectionnement.
- Hirsch, A.T., Haskal, Z.J., Hertzer, N.R., Bakal, C.W., Creager, M.A., Halperin, J.L., Hiratzka, L.F., Murphy, W.R.C., Olin, J.W., Puschett, J.B., Rosenfield, K.A., Sacks, D., Stanley, J.C., Taylor Jr., L.M. and White, C.J., White, J. and White, R.A. (2006) ACC/AHA 2005 Practice Guidelines for the Management of Patients with Peripheral Artery Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic). Circulation, 113, e463-654. https://doi.org/10.1161/CIRCULATIONAHA.106.174526
- Puppinck, P., Chevalier, J., Ducasse, E. and Dasnoy, D. (2004) L’autotransplantation de l’artere femorale superficielle dans les lesions arterielles polplitees. Journal des Maladies Vasculaires (Paris), 29, 9-11. https://doi.org/10.1016/S0398-0499(04)96706-6
- Lemonnier, T., Feugier, P., Ricco, J.-B., de Ravignan, D. and Chevalier, J.-M. (2009) Lyon et Poitiers, France. Traitement des anévrismes poplités par greffon artériel fémoral: évaluation à long terme. Annals of Vascular Surgery, 23, 755-757. https://doi.org/10.1016/j.acvfr.2010.03.013