title: Rupture of a popliteal artery aneurysm 10 years after surgical repair.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Hjalmar C
authors.initials: HC
authors.lastname: van Santvoort
authors.forename: Jean-Paul P M
authors.initials: JP
authors.lastname: de Vries
authors.forename: Rob
authors.initials: R
authors.lastname: van de Mortel
authors.forename: Jan
authors.initials: J
authors.lastname: Wille
authors.forename: Eric D W M
authors.initials: ED
authors.lastname: van de Pavoordt
mesh_terms: 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