Baker's cyst leading to complete popliteal artery occlusion

Baker's cysts are usually an indolent pathology that is managed nonoperatively, with intervention reserved for rare patients with compressive symptoms. We present a patient with a Baker's cyst that led to disabling claudication requiring vascular surgical intervention. Initially, an endovascular approach was undertaken; however, the patient experienced early stent failure from the Baker's cyst's mechanical compressive effects necessitating open revascularization. This case highlights Baker's cysts as a rare source of claudication and emphasizes favorability of prompt open revascularization rather than endovascular management as primary therapy in conjunction with orthopedic surgery.