title: Surgical treatment for acute ischemia caused by bilateral popliteal artery entrapment syndrome in an elderly patient: report of a case.
abstract: We report the unusual case of a 73-year-old man who underwent surgery for bilateral popliteal artery entrapment syndrome (PAES). A medial approach was used to operate on the left leg, and the vein bypass was made from the superficial femoral artery to the crural artery through a subfascial route. A posterior approach was used to operate on the right leg and it was found that the mid-popliteal artery passed medial to and beneath the medial head of the gastrocnemius muscle and was severely compressed by an accessory slip of muscle. The vein bypass from the above-knee to below-knee popliteal artery was established through the original route after resection of the accessory slip of muscle. A postoperative arteriogram showed good bypass flow to the bilateral crural arteries. To our knowledge, this case represents the oldest patient with this disorder to be treated by surgery.
authors.affiliation: Department of Surgery, Hyogo Prefectural Awaji Hospital, Sumoto 656-0013, Japan.
authors.forename: Takaki
authors.initials: T
authors.lastname: Sugimoto
authors.forename: Hironobu
authors.initials: H
authors.lastname: Nishikawa
authors.forename: Hiromi
authors.initials: H
authors.lastname: Maeda
authors.forename: Masahiko
authors.initials: M
authors.lastname: Umeki
authors.forename: Takashi
authors.initials: T
authors.lastname: Koyama
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hatta
authors.forename: Sigeru
authors.initials: S
authors.lastname: Kurisu
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D004691:Endarterectomy; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011150:Popliteal Artery / Q000601:surgery; D017131:Thrombectomy; D016909:Tibial Arteries / Q000601:surgery; D014656:Vascular Surgical Procedures