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[Popliteal artery entrapment syndrome].

G Sepa¹, C Dzsinich, A Szabó

¹Semmelweis Orvostudományi Egyetem Er- és Szívsebészeti Klinika.

Magyar Sebeszet

|April 13, 2001

Summary

Popliteal Artery Entrapment Syndrome (PAES) is a rare congenital condition causing leg ischemia in young males. Surgical treatment involving thrombus removal and artery repair led to a full recovery in a 14-year-old patient.

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Area of Science:

Vascular Surgery
Pediatric Surgery
Anatomic Abnormalities

Background:

Popliteal Artery Entrapment Syndrome (PAES) is a rare congenital vascular anomaly.
It results from extrinsic compression of the popliteal artery by surrounding muscles or fibrous bands.
PAES predominantly affects young, active males and can lead to acute limb ischemia.

Observation:

A 14-year-old male presented with acute 24-hour right leg ischemia.
The ischemia was diagnosed as secondary to Popliteal Artery Entrapment Syndrome.
A specific anatomical variation involving the gastrocnemius muscle was identified.

Findings:

A posterior surgical approach to the popliteal artery was utilized.
Division of an accessory slip of the gastrocnemius muscle relieved the arterial compression.
An arteriotomy allowed for the removal of a floating thrombus.
Direct continuous suture reconstruction of the popliteal artery was performed.

Implications:

Successful surgical management of PAES can restore arterial patency and prevent limb loss.
This case highlights the importance of considering PAES in young patients with acute leg ischemia.
Prompt diagnosis and surgical intervention lead to excellent long-term outcomes, as evidenced by the patient's symptom-free status and palpable pulse one year post-surgery.

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