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Popliteal artery entrapment; claudication during youth
Archivum Chirurgicum Neerlandicum
|January 1, 1976
Summary
Popliteal artery entrapment can cause early-onset intermittent claudication due to anatomical abnormalities or muscular hypertrophy. Surgical treatment, including myotomy or vascular reconstruction for occlusion, yielded satisfactory outcomes in four patients.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
- Anatomy
Background:
- Intermittent claudication in young patients is uncommon.
- Popliteal artery entrapment syndrome (PAES) is a rare cause of lower limb ischemia.
- Early diagnosis and management are crucial to prevent long-term complications.
Observation:
- Four pediatric patients presented with symptoms of intermittent claudication.
- Causes identified included popliteal fossa anatomical abnormalities and muscular hypertrophy.
- One patient had total popliteal artery occlusion requiring intervention.
Findings:
- Three patients underwent successful myotomy for arterial entrapment.
- One patient with arterial occlusion was treated with arteriotomy and a vein patch, resulting in a patent vessel.
- All four patients achieved satisfactory outcomes post-intervention.
Implications:
- Simple myotomy is effective for PAES caused by anatomical abnormalities or hypertrophy.
- Vascular reconstruction is reserved for cases with irreversible vascular changes or complications.
- This study highlights the importance of considering PAES in young patients with claudication.
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