Rupture of a popliteal artery aneurysm 10 years after surgical repair.
The usual method for popliteal artery aneurysm exclusion is distal and proximal ligation followed by bypass grafting via a medial approach. This technique preserves collaterals to the aneurysm, which might cause back-bleeding and symptomatic enlargement. We report the eighth case in the literature of a ruptured popliteal artery aneurysm after previous ligation and bypass grafting. The ruptured aneurysm was successfully excluded via a posterior approach. The advantage of this approach over the medial approach is the possibility of opening the aneurysm sac to oversew patent side branches, thereby excluding back-bleeding. We review the advantages and disadvantages of both the medial and the dorsal technique to treat popliteal aneurysms.
van Santvoort
Hjalmar C
HC
Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
de Vries
Jean-Paul P M
JP
van de Mortel
Rob
R
Wille
Jan
J
van de Pavoordt
Eric D W M
ED
D000368:Aged; D017542:Aneurysm, Ruptured / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D011150:Popliteal Artery / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D013997:Time Factors