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Popliteal artery entrapment syndrome
Fahri Tercan1, Levent Oğuzkurt, Osman Kizilkiliç
1Department of Radiology, Başkent University School of Medicine Research and Training Hospital, Adana, Turkey, Turkey. ftercan@hotmail.com
Diagnostic and Interventional Radiology (Ankara, Turkey)
|December 2, 2005
Summary
Popliteal artery entrapment syndrome, a rare vascular condition, can cause limb-threatening issues in young adults. This case highlights a 17-year-old boy with bilateral popliteal artery narrowing due to gastrocnemius muscle compression.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Pediatric Cardiology
Background:
- Popliteal artery entrapment syndrome (PAES) is a rare peripheral vascular disease.
- It predominantly affects young adults and can be limb-threatening.
- PAES involves extrinsic compression of the popliteal artery.
Observation:
- A 17-year-old male presented with right-sided intermittent claudication.
- Digital subtraction angiography showed bilateral, focal popliteal artery narrowing.
- Magnetic resonance imaging confirmed gastrocnemius muscle compression of the arteries.
Findings:
- The case illustrates a classic presentation of PAES in a young patient.
- Imaging findings demonstrated characteristic bilateral popliteal artery compression.
- The medial head of the gastrocnemius muscle was identified as the causative factor.
Implications:
- Early diagnosis and management of PAES are crucial to prevent limb ischemia.
- Understanding the anatomical basis of PAES aids in surgical planning.
- This case underscores the importance of considering PAES in young athletes with claudication.