Popliteal Artery Entrapment Syndrome: A Case Report and Review of the Literature

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dc.citation.volume19
dc.contributor.authorFrota Carneiro Junior, Francisco Cialdine [UNIFESP]
dc.contributor.authordos Anjos Carrijo, Eduardo Nazareno [UNIFESP]
dc.contributor.authorAraujo, Samuel Tomaz [UNIFESP]
dc.contributor.authorUta Nakano, Luis Carlos [UNIFESP]
dc.contributor.authorde Amorim, Jorge Eduardo [UNIFESP]
dc.contributor.authorCacione, Daniel Guimaraes [UNIFESP]
dc.coverageSmithtown
dc.date.accessioned2020-07-08T13:09:53Z
dc.date.available2020-07-08T13:09:53Z
dc.date.issued2018
dc.description.abstractObjective: Rare disease Background: Popliteal artery entrapment syndrome (PAES) results from an anomalous relationship between the popliteal artery and the myofascial structures of the popliteal fossa. The most common presenting symptoms include intermittent pain in the feet and calves on exercise, resulting in lameness. PAES can lead to popliteal artery thrombosis, stenosis, distal arterial thromboembolism, or arterial aneurysm. The treatment of PAES includes surgical exploration with fasciotomy, myotomy, or sectioning of fibrous band formation, to release the popliteal artery. However, in cases with thrombotic occlusion, thromboendarterectomy with venous patch arterioplasty, or venous graft arterial bypass surgery may be required. This report describes the presentation and surgical management of a case of PAES presenting with limb pain and includes a review of the literature on this condition. Case Report: A previously healthy 47-year-old woman presented with a 20-day history of sudden pain in the left lower limb, associated with pallor and a loss of arterial pulses below the knee. Angiography of the affected limb showed occlusion of the left supragenicular popliteal artery, with arterial occlusion, suggestive of arterial thrombus. Imaging of the right popliteal artery, which was not occluded, showed that it was medially deviated. An ipsilateral saphenous vein graft was used to bypass the left supragenicular popliteal artery to the infragenicular popliteal artery, resulting in resolution of the patient's symptoms. Conclusions: PAES is rare and can be under-diagnosed, possibly due to lack of knowledge of this condition. However, if the diagnosis is made early, the prognosis is usually favorable, following appropriate surgical treatment.en
dc.description.affiliationUniv Fed Sao Paulo, Serv Vasc & Endovasc Surg, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Serv Vasc & Endovasc Surg, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent29-34
dc.identifierhttp://dx.doi.org/10.12659/AJCR.905170
dc.identifier.citationAmerican Journal Of Case Reports. Smithtown, v. 19, p. 29-34, 2018.
dc.identifier.doi10.12659/AJCR.905170
dc.identifier.fileWOS000419535600001.pdf
dc.identifier.issn1941-5923
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54270
dc.identifier.wosWOS:000419535600001
dc.language.isoeng
dc.publisherInt Scientific Literature, Inc
dc.relation.ispartofAmerican Journal Of Case Reports
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectArterial Occlusive Diseasesen
dc.subjectLower Extremityen
dc.subjectPopliteal Arteryen
dc.titlePopliteal Artery Entrapment Syndrome: A Case Report and Review of the Literatureen
dc.typeinfo:eu-repo/semantics/article
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