Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage
Popliteal artery entrapment syndrome (PAES) is a rare cause of limb-threatening vascular disease. Usually, it arises from aberrant embryological development or acquired dysfunctionality of the popliteal artery and its surrounding musculotendinous structures in the popliteal fossa. Here, we present a...
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Wiley
2020-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/2403280 |
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| author | Aman Berry Williams |
| author_facet | Aman Berry Williams |
| author_sort | Aman Berry Williams |
| collection | DOAJ |
| description | Popliteal artery entrapment syndrome (PAES) is a rare cause of limb-threatening vascular disease. Usually, it arises from aberrant embryological development or acquired dysfunctionality of the popliteal artery and its surrounding musculotendinous structures in the popliteal fossa. Here, we present a case report of a young woman with relatively sudden-onset short-distance claudication and paraesthesia affecting her right leg primarily. She had no recent traumatic history and no atherosclerotic risk factors and was otherwise previously very active. She had a feeble right popliteal artery pulse and no foot pulses. Nerve conduction studies demonstrated no electrophysiological abnormalities. Following computed tomography angiography and magnetic resonance imaging, it was determined she had type 2 PAES. Subsequently, the patient underwent surgical division of a lateralised head of her medial gastrocnemius, resection of her fibrosed popliteal artery, and repair with a reversed long saphenous vein interposition graft. Following surgery, her symptoms resolved, and she remains on aspirin and ultrasound surveillance. |
| format | Article |
| id | doaj-art-5a7e46b569794549a610ed7e431b61b3 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-5a7e46b569794549a610ed7e431b61b32025-02-03T06:46:40ZengWileyCase Reports in Vascular Medicine2090-69862090-69942020-01-01202010.1155/2020/24032802403280Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and SalvageAman Berry Williams0The Townsville Hospital and Health Service, AustraliaPopliteal artery entrapment syndrome (PAES) is a rare cause of limb-threatening vascular disease. Usually, it arises from aberrant embryological development or acquired dysfunctionality of the popliteal artery and its surrounding musculotendinous structures in the popliteal fossa. Here, we present a case report of a young woman with relatively sudden-onset short-distance claudication and paraesthesia affecting her right leg primarily. She had no recent traumatic history and no atherosclerotic risk factors and was otherwise previously very active. She had a feeble right popliteal artery pulse and no foot pulses. Nerve conduction studies demonstrated no electrophysiological abnormalities. Following computed tomography angiography and magnetic resonance imaging, it was determined she had type 2 PAES. Subsequently, the patient underwent surgical division of a lateralised head of her medial gastrocnemius, resection of her fibrosed popliteal artery, and repair with a reversed long saphenous vein interposition graft. Following surgery, her symptoms resolved, and she remains on aspirin and ultrasound surveillance.http://dx.doi.org/10.1155/2020/2403280 |
| spellingShingle | Aman Berry Williams Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage Case Reports in Vascular Medicine |
| title | Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage |
| title_full | Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage |
| title_fullStr | Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage |
| title_full_unstemmed | Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage |
| title_short | Bilateral Popliteal Artery Entrapment Syndrome: An Approach to Diagnosis and Salvage |
| title_sort | bilateral popliteal artery entrapment syndrome an approach to diagnosis and salvage |
| url | http://dx.doi.org/10.1155/2020/2403280 |
| work_keys_str_mv | AT amanberrywilliams bilateralpoplitealarteryentrapmentsyndromeanapproachtodiagnosisandsalvage |