[Trapped popliteal vein and artery].
A report is made of 3 observations of vascular constrictions in the knee hollow of three young adults: two constrictions of the popliteal artery, one by abnormal insertion of a tendon of the gastrocnemius muscle and of the arterial passage, the other by a fibrous band surrounding the artery. In one observation, the disorder was revealed by acute ischemia of one limb. The third observation was of a sural phlebitis with secondary repetition at the constriction of the popliteal vein by Soleaire's arcade. In all cases examination using the Doppler effect, in baseline and especially dynamic position, gives a diagnosis and allows postoperative monitoring. Bilateral arteriography, both static and dynamic, allows a precise diagnosis to be given and reveals the extent of vascular lesions, which conditions the operative technique. Treatment is always surgical, with exploration of the contralateral side if a constriction is suspected, even if it is asymptomatic.
J
J
Allal
J F
JF
Gallimard
F
F
Goubbault
J
J
Lelong
J
J
Barbier
R
R
Barraine
D000328:Adult; D003251:Constriction, Pathologic / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000209:etiology; D007866:Leg / Q000098:blood supply; D008297:Male; D010689:Phlebitis / Q000209:etiology; D011150:Popliteal Artery; D011152:Popliteal Vein
Artère et veine poplitées piégées.