Popliteal Artery Entrapment Syndrome Presenting with Acute Limb Ischaemia: A Case Report

Popliteal artery entrapment syndrome (PAES) is a relatively rare condition that occurs in young patients as a result of anomalous anatomic relationships between the popliteal artery and the surrounding musculotendinous structures. Patients usually lack atherogenic risk factors and most commonly present with intermittent claudication in the early stages. In the later stages of undiagnosed PAES, acute ischaemia can occur as a result of complete arterial occlusion or embolism. Hence, early diagnosis and surgical release of the entrapment is crucial for good operative outcome and to prevent limb loss.

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A Case of Popliteal Artery Entrapment Syndrome Presenting with Acute Limb Ischaemia

Heart Lung and Circulation ◽

10.1016/j.hlc.2014.07.067 ◽

2014 ◽

Vol 23 (12) ◽

pp. e255-e257 ◽

Cited By ~ 1

Author(s):

Byeong-joo Jo ◽

Jun-Ho Bae

Keyword(s):

Popliteal Artery ◽

Limb Ischaemia ◽

Entrapment Syndrome ◽

Popliteal Artery Entrapment Syndrome ◽

Acute Limb Ischaemia ◽

Popliteal Artery Entrapment

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Popliteal Artery Entrapment Syndrome in Children: Experience With Four Cases of Acute Ischaemia and Review of the Literature

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2016.12.032 ◽

2017 ◽

Vol 53 (4) ◽

pp. 576-582 ◽

Cited By ~ 2

Author(s):

N. Settembre ◽

Z. Bouziane ◽

M.A. Bartoli ◽

V. Nabokov ◽

M. Venermo ◽

...

Keyword(s):

Popliteal Artery ◽

Review Of The Literature ◽

Acute Ischaemia ◽

Entrapment Syndrome ◽

Popliteal Artery Entrapment Syndrome ◽

Popliteal Artery Entrapment

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Long-term outcomes after revascularization for advanced popliteal artery entrapment syndrome with segmental arterial occlusion

Journal of Vascular Surgery ◽

10.1016/j.jvs.2011.06.107 ◽

2012 ◽

Vol 55 (1) ◽

pp. 90-97 ◽

Cited By ~ 25

Author(s):

Seong-Yup Kim ◽

Seung-Kee Min ◽

Sanghyun Ahn ◽

Sang-Il Min ◽

Jongwon Ha ◽

...

Keyword(s):

Popliteal Artery ◽

Arterial Occlusion ◽

Long Term Outcomes ◽

Entrapment Syndrome ◽

Popliteal Artery Entrapment Syndrome ◽

Popliteal Artery Entrapment

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Case Report: Tibial and fibular osteochondroma as an unusual cause of popliteal artery entrapment syndrome

F1000Research ◽

10.12688/f1000research.13648.1 ◽

2018 ◽

Vol 7 ◽

pp. 198

Author(s):

Jamil Victor de Oliveira Mariúba ◽

Marcone Lima Sobreira ◽

Winston Bonetti Yoshida ◽

Eduardo Savio de Oliveira Mariúba ◽

Hamilton de Almeida Rollo ◽

...

Keyword(s):

Case Report ◽

Popliteal Artery ◽

Vascular Complications ◽

Arterial Occlusion ◽

Cold Weather ◽

Benign Tumors ◽

Entrapment Syndrome ◽

Popliteal Artery Entrapment Syndrome ◽

Popliteal Artery Entrapment ◽

History Of

Background: Osteochondroma, or osteocartilaginous exostosis, is the most common benign neoplasm of bone, and accounts for 20-50% of all benign tumors. Vascular complications associated with osteochondromas are rare, and include pseudoaneurysm formation, vessel occlusion and vessel displacement. To date, only two cases of popliteal artery entrapment syndrome (PAES) caused by an isolated fibular osteochondroma have been reported. Case Report: This report describes a unique case of PAES. A 33-year-old woman had a history of multiple osteochondroma, including of the proximal tibia and fibula on the left, diagnosed at age two years and monitored clinically by an orthopedist. The patient presented at our facility with a one-year history of a progressive intermittent claudication, left-sided toe pain and pallor in cold weather. After a complete evaluation, we diagnosed an arterial occlusion of the left popliteal artery. We tried several attempts of revascularization, by different forms, without success. The case went to amputation surgery. Conclusion: We consider this an important case because, although the association of osteochondroma and PAES is rare, physicians should consider it early to avoid acute vascular complications. Moreover, to date, we believe this is the first description of a PAES related with multiple osteochondroma.

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Bilateral popliteal artery entrapment syndrome: case report

Jornal Vascular Brasileiro ◽

10.1590/s1677-54492008000200011 ◽

2008 ◽

Vol 7 (2) ◽

pp. 159-162 ◽

Cited By ~ 3

Author(s):

Fabricio Mascarenhas de Oliveira ◽

Aline Cristine Barbosa Santos ◽

Alexandre Mitoshi Takito ◽

Edgard Bolanho ◽

Regina de Faria Bittencourt da Costa ◽

...

Keyword(s):

Popliteal Artery ◽

Young Patients ◽

Peroneal Artery ◽

Treatment Technique ◽

Entrapment Syndrome ◽

Popliteal Artery Entrapment Syndrome ◽

Extrinsic Compression ◽

Popliteal Artery Entrapment ◽

Narrow Lumen ◽

Vein Bypass

Popliteal artery entrapment syndrome occurs due to an extrinsic compression of the popliteal vessels that results in vascular damage. It is one of the most frequent causes of intermittent claudication in young patients. The authors describe a case of bilateral syndrome by anomalous position of the gastrocnemius muscle, with abnormal slip of its medial head (Rich's type III). During the operation the occluded right side was reconstructed by autologous saphenous vein bypass from femoral superficial to peroneal artery and on the left side the slip muscle was transected by posterior approach. Popliteal artery entrapment syndrome should be treated by surgery despite the degree of symptoms. Surgical treatment technique has released the vessel by extracting the muscle that caused entrapment, and reconstructing the narrow lumen bypass grafting.

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