[Manifestation of popliteal aneurysm during pulse spray thrombolysis (PST)].
We report the case of a 32-year-old woman presenting with acute extremity ischemia due to thrombosis of a previously undetected popliteal artery aneurysm. The popliteal artery aneurysm was revealed by PST which was indicated for the treatment of thrombosis of the superficial femoral artery. PST was complicated by a peripheral embolism with subsequent severe extremity ischaemia. Immediate embolectomy and reconstructive vascular surgery led to a successful result. This case illustrates the diagnostic problems of a thrombosed popliteal artery aneurysm and warns of embolic complications during PST.
Certík
B
B
Chirurgische Klinik, Universitätskrankenhaus Plzen, Tschechische Republik.
Treska
V
V
Slauf
F
F
D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D019917:Blood Vessel Prosthesis Implantation; D004617:Embolism / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D011150:Popliteal Artery; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy*