Advertisement

Popliteal Artery Aneurysms

  • Efthymios D. Avgerinos
  • Michel S. Makaroun
Chapter

Case Report: 1

A 62-year-old male patient presented to the emergency department with a cool right foot. On examination, his femoral pulse was intact and a pulsatile mass was appreciated in the popliteal fossa. His right foot was cool but motor and sensory functions were intact. No pedal pulses were palpable and faint Doppler signals were audible.

Question 1

The presence of a popliteal artery aneurysm is associated with a higher risk for:
  1. A.

    Contralateral popliteal artery aneurysm

     
  2. B.

    Infra-renal abdominal aortic aneurysm

     
  3. C.

    Other peripheral artery aneurysms

     
  4. D.

    All of the above

     

Question 2

Which of the following is the initial diagnostic test of choice for popliteal artery aneurysm?
  1. A.

    Magnetic resonance imaging

     
  2. B.

    Contrast arteriography

     
  3. C.

    Duplex ultrasonography

     
  4. D.

    Computed tomography angiography

     
Duplex ultrasonography demonstrated giant bilateral popliteal artery aneurysms and a 4.5 cm infra-renal abdominal aortic aneurysm. A computed tomography (CT) angiogram was...

References

  1. 1.
    Lichtenfels E, Frankini AD, Bonamigo TP, et al. Popliteal artery aneurysm surgery: the role of emergency setting. Vasc Endovasc Surg. 2008;42(2):159–64.CrossRefGoogle Scholar
  2. 2.
    Ravn H, Wanhainen A, Bjorck M. Surgical technique and long-term results after popliteal artery aneurysm repair: results from 717 legs. J Vasc Surg. 2007;46(2):236–43.CrossRefPubMedGoogle Scholar
  3. 3.
    Martelli E, Ippoliti A, Ventoruzzo G, et al. Popliteal artery aneurysms. Factors associated with thromboembolism and graft failure. Int Angiol. 2004;23(1):54–65.PubMedGoogle Scholar
  4. 4.
    Huang Y, Gloviczki P, Noel AA, et al. Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: is exclusion with saphenous vein bypass still the gold standard? J Vasc Surg. 2007;45(4):706–13. discussion 713–5CrossRefPubMedGoogle Scholar
  5. 5.
    Ascher E, Markevich N, Schutzer RW, et al. Small popliteal artery aneurysms: are they clinically significant? J Vasc Surg. 2003;37(4):755–60.CrossRefPubMedGoogle Scholar
  6. 6.
    Ravn H, Bergqvist D, Bjorck M. Nationwide study of the outcome of popliteal artery aneurysms treated surgically. Br J Surg. 2007;94(8):970–7.CrossRefPubMedGoogle Scholar
  7. 7.
    Pulli R, Dorigo W, Troisi N, et al. Surgical management of popliteal artery aneurysms: which factors affect outcomes? J Vasc Surg. 2006;43(3):481–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Cross JE, Galland RB. Asymptomatic popliteal artery aneurysms (less than 3cm) should be ttreated conservatively. Eur J Vasc Surg. 2011;41:445–9.CrossRefGoogle Scholar
  9. 9.
    Leake AE, Segal MA, Chaer RA, et al. Meta-analysis of open and endovascular repair of popliteal artery aneurysms. J Vasc Surg. 2017;65:246–256.e2.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Vascular SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA

Personalised recommendations