Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent
Introduction. Popliteal artery entrapment syndrome (PAES) is caused by compression of the popliteal artery (PA) due to deranged myotendinous structures. It can be asymptomatic or may present with exercise intolerance, claudication, or even limb-threatening ischemia. The clinical picture depends on t...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/8540631 |
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| author | Viktor Labmayr Aryan Aliabadi Kurt Tiesenhausen Marianne Brodmann Florian Schmid Dana Moore |
| author_facet | Viktor Labmayr Aryan Aliabadi Kurt Tiesenhausen Marianne Brodmann Florian Schmid Dana Moore |
| author_sort | Viktor Labmayr |
| collection | DOAJ |
| description | Introduction. Popliteal artery entrapment syndrome (PAES) is caused by compression of the popliteal artery (PA) due to deranged myotendinous structures. It can be asymptomatic or may present with exercise intolerance, claudication, or even limb-threatening ischemia. The clinical picture depends on the anatomy and degree of vascular compromise. Case Description. We report a case of a 17-year-old Caucasian male with PAES Type II presenting with intermittent claudication and progression towards acute limb ischemia. Diagnostics. MRI and MRA helped identifying the aberrant anatomy and thrombotic occlusion. Doppler ultrasound and conventional angiography have also been employed in a stepwise approach. Intervention. The thrombus at the site of occlusion was removed by the use of catheter-directed lysis. Subsequently, popliteal artery release was achieved by myotomy of the aberrant medial head of gastrocnemius muscle (MHGM) and muscle transfer to the medial femoral condyle. A three-month regimen of 60mg edoxaban was recommended after surgery. Outcome. Surgical correction of the anomalous anatomy and postoperative anticoagulation led to freedom of symptoms. Lesson. Clinical presentation of PAES mimicking peripheral artery occlusive disease is very rare but potentially limb-threatening. PAES should be considered in young and otherwise healthy individuals. |
| format | Article |
| id | doaj-art-83388e86315242afb63d477f0ed593f4 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-83388e86315242afb63d477f0ed593f42025-02-03T05:48:01ZengWileyCase Reports in Vascular Medicine2090-69862090-69942019-01-01201910.1155/2019/85406318540631Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old AdolescentViktor Labmayr0Aryan Aliabadi1Kurt Tiesenhausen2Marianne Brodmann3Florian Schmid4Dana Moore5Department of Orthopaedics and Trauma, University Hospital Graz, AustriaDivision of Angiology, Department of Internal Medicine, University Hospital Graz, AustriaDivision of Vascular Surgery, Department of Surgery, University Hospital Graz, AustriaDivision of Angiology, Department of Internal Medicine, University Hospital Graz, AustriaDivision of Neuroradiology, Vascular and Interventional Radiology, Department of Radiology, University Hospital Graz, AustriaDivision of Angiology, Department of Internal Medicine, University Hospital Graz, AustriaIntroduction. Popliteal artery entrapment syndrome (PAES) is caused by compression of the popliteal artery (PA) due to deranged myotendinous structures. It can be asymptomatic or may present with exercise intolerance, claudication, or even limb-threatening ischemia. The clinical picture depends on the anatomy and degree of vascular compromise. Case Description. We report a case of a 17-year-old Caucasian male with PAES Type II presenting with intermittent claudication and progression towards acute limb ischemia. Diagnostics. MRI and MRA helped identifying the aberrant anatomy and thrombotic occlusion. Doppler ultrasound and conventional angiography have also been employed in a stepwise approach. Intervention. The thrombus at the site of occlusion was removed by the use of catheter-directed lysis. Subsequently, popliteal artery release was achieved by myotomy of the aberrant medial head of gastrocnemius muscle (MHGM) and muscle transfer to the medial femoral condyle. A three-month regimen of 60mg edoxaban was recommended after surgery. Outcome. Surgical correction of the anomalous anatomy and postoperative anticoagulation led to freedom of symptoms. Lesson. Clinical presentation of PAES mimicking peripheral artery occlusive disease is very rare but potentially limb-threatening. PAES should be considered in young and otherwise healthy individuals.http://dx.doi.org/10.1155/2019/8540631 |
| spellingShingle | Viktor Labmayr Aryan Aliabadi Kurt Tiesenhausen Marianne Brodmann Florian Schmid Dana Moore Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent Case Reports in Vascular Medicine |
| title | Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent |
| title_full | Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent |
| title_fullStr | Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent |
| title_full_unstemmed | Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent |
| title_short | Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent |
| title_sort | popliteal artery entrapment syndrome paes in a 17 year old adolescent |
| url | http://dx.doi.org/10.1155/2019/8540631 |
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