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Query: UMLS:C0022116 (ischemia)
 91,303 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Popliteal artery aneurysms are the most common of the peripheral aneurysms. Rupture is a rare complication of these aneurysms. Here we present a case of a ruptured popliteal aneurysm in a patient with severe joint disease and immobility due to rheumatoid arthritis. The condition was treated endovascularly with an Amplatzer arterial occlusion device. The aneurysm was successfully thrombosed without inducing critical limb ischemia, as the distal popliteal was chronically occluded. Ligation of peripheral aneurysms is an infrequent treatment without simultaneous bypass graft placement. Endovascular occlusion of ruptured popliteal aneurysms should be considered a valid therapeutic strategy where exclusion bypass is not required due to distal arterial occlusion.
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PMID:Endovascular occlusion of a ruptured popliteal artery aneurysm. 2035 67

The popliteal artery entrapment syndrome (PAES), a rare cause for leg ischemia, is usually treated by surgical removal of the compressing structure and either venous bypass or interposition graft. However, endovascular revascularization followed by surgery to release the artery has been reported as a feasible alternative. So far long-term results of this approach are not known. We report the follow-up of three patients with PAES and thrombotic occlusion of the popliteal and calf arteries treated by local lysis, percutaneous thrombembolectomy and angioplasty followed by musculotendinous dissection. One patient had an uneventful follow-up of 11 years while the second patient developed a popliteal aneurysm four months after the index procedure. In the third patient, angioplasty of a stenosis of the popliteal artery was performed after two years. However, occlusion of the artery occurred two years later due to a small popliteal aneurysm. Endovascular revascularization followed by surgical release of the artery may be a viable alternative in the treatment of PAES especially in cases with distal embolization. However, careful follow-up by duplex ultrasound is mandatory because of the high risk of reocclusion or development of a popliteal aneurysm.
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PMID:Long-term follow-up of patients with popliteal artery entrapment syndrome treated by endoluminal revascularization. 2046 77

Popliteal artery aneurysms (PAAs) are rare in the general population, but are the most common peripheral aneurysms. PAAs are often bilateral and are associated with abdominal aortic aneurysms. They usually affect older men with established cardiovascular disease caused by atherosclerosis. Whenever they occur in younger men, other more unusual etiologies such as trauma, mycotic aneurysm, inflammatory arteritis or popliteal entrapment are responsible. The authors report a rare case of giant congenital PAA, revealed by acute limb ischemia in a 23-year-old patient. The evolution after resection of the popliteal aneurysm and end-to-end anastomosis with synthetic graft was favorable.
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PMID:A rare case of giant popliteal artery aneurysm in a young adult. 2188 75

Infected popliteal aneurysm is a rare high-risk condition that can present as an emergency with acute rupture and sepsis. Management of acute ischemia in the presence of local and systemic sepsis is challenging. Open surgery is not always possible and carries a high risk of morbidity and death. An endovascular approach has been advocated in infected aneurysms elsewhere in the body, with good short-term and medium-term outcomes encouraging such approach in the popliteal artery. We report a case of successful endovascular treatment of an infected ruptured popliteal aneurysm with favorable outcome after 2-year follow-up and a related review of the literature.
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PMID:Endovascular management of ruptured infected popliteal artery aneurysm. 2195 67

Popliteal artery entrapment (PAE) is an uncommon syndrome. Although this phenomenon can cause claudication in younger populations, other clinical features may vary. The present report describes a case of a 48-year-old woman who was referred for treatment of a pulsatile mass in the right popliteal fossa. Computed tomography scan and magnetic resonance imaging demonstrated popliteal aneurysm associated with PAE. Resection of abnormal musculotendinous structures, aneurysmectomy and subsequent revascularization were successfully performed. Although PAE may lead to poststenotic dilatation and aneurysm formation, huge aneurysm without clinical signs of ischemia in a patient with PAE is extremely rare.Popliteal artery entrapment (PAE) is an uncommon syndrome. Although this phenomenon can cause claudication in younger populations, other clinical features may vary. The present report describes a case of a 48-year-old woman who was referred for treatment of a pulsatile mass in the right popliteal fossa. Computed tomography scan and magnetic resonance imaging demonstrated popliteal aneurysm associated with PAE. Resection of abnormal musculotendinous structures, aneurysmectomy and subsequent revascularization were successfully performed. Although PAE may lead to poststenotic dilatation and aneurysm formation, huge aneurysm without clinical signs of ischemia in a patient with PAE is extremely rare.
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PMID:A case of popliteal artery aneurysm associated with popliteal artery entrapment syndrome. 2355 1

Infected popliteal aneurysms are a rare but high-risk pathology that may present as a surgical emergency with acute rupture and sepsis. Management of acute ischemia in the presence of systemic sepsis is challenging and requires timely diagnosis, rapid intervention, and multidisciplinary communication to ensure an optimum outcome for both life and limb in these patients. We report on a case of a ruptured mycotic popliteal artery aneurysm as a consequence of septic embolization from infective endocarditis managed by reverse saphenous vein bypass. The clinical presentation, diagnostic process, and approach to management along with a literature review on mycotic popliteal aneurysm are presented in this case report.
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PMID:Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm. 2524 48

Osteochondroma are the bone tumors most frequently found in adolescents or young adults. Most often discovered by accidental findings, they however may be diagnosed while some complications. They are commonly described as solitary findings while multiple exostoses are rather included in an inherited disease. We report the rare case of a 24-year-old patient with acute ischemia of popliteal artery pseudoaneurysm caused by a femur bone exostosis. He presented a severe and supported pain in the left leg. Clinical examination found acute limb ischemia. An angio-CT-scan showed a pseudoaneurysm thrombosis of popliteal artery with distal emboli. An exostosis of the femur bone just above the aneurysm was also found. In this dramatic presentation, a surgical treatment was performed and consisted of thrombectomy, excluding the popliteal aneurysm with a distal saphenous vein graft, excision of the exostosis, fibrinolysis and preventive anterior and posterior compartements fasciotomy.
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PMID:[Thrombosis of a popliteal pseudoaneurysm secondary to an osteochondroma of the femur: an uncommon clinical case]. 2567 13

Osteochondromas or bone exostoses are bone tumors commonly found in adolescents or young adults. These benign tumors are usually incidentally discovered, exceptionally by a vascular or nervous complication. We report the case of a 22-year-old patient presenting with left femoral exostosis revealed by an acute ischemia of the lower limb. Clinical examination of the contralateral limb was without abnormality. Computed tomography angiography revealed a thrombosed aneurysm of the supra articular popliteal artery associated to an exostosis of the lower extremity of the femur. Surgical treatment was recommended in this patient: resection of the popliteal aneurysm associated with a end-to-end suture of the popliteal artery and resection of bone exostosis.
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PMID:[Acute lower limb ischemia secondary to femoral osteochondroma]. 3102 77

Rupture of a chronic thrombosed or excluded popliteal arterial aneurysm is rare, but has been previously reported in the literature. The management of a ruptured thrombosed popliteal aneurysm, in a context of chronic limb ischemia, raises the problem of latent ischemia and its outcome. In this case report, we present the first case of a ruptured thrombosed popliteal aneurysm in a patient presenting chronic ischemia.
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PMID:A Thrombosed Popliteal Aneurysm Ruptured in the Setting of Chronic Limb Ischemia: A Rare Complication that Can Occur at Long Term. 3120 46

Infected popliteal aneurysm is a high-risk condition that may present as an emergency requiring an urgent attention with acute rupture and sepsis. The management of acute ischemia in the presence of local and systemic sepsis is challenging, and infection control and perioperative management during surgery are important. Here we report successful case of treating a patient with an infected popliteal aneurysm. The infection seemed to arise from the soft tissue surrounding the aneurysm, following cellulitis. Our report also includes a review of the related literature and suggests that devising methods for infection control is critical in achieving acceptable outcomes in such cases.
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PMID:An Infected Popliteal Aneurysm Simultaneously Treated with Resection and Revascularization. 3194 16


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