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[Popliteal artery entrapment syndrome]
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.
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.