title: What should be the first treatment of popliteal artery entrapment syndrome.
abstract: BACKGROUND
  Popliteal artery entrapment syndrome (PAES) is the rare congenital abnormality. It is a threat to the lower extremity due to ischemia in young adults.
  
  
  METHODS
  A 32-year-old health worker (medical doctor) applied to our clinic with a complaint of lower extremity pain, paleness, and coldness, post-exercise. He did not have any complaint to make him think as ischemia. Peripheral arterial angiography was applied, but the main diagnosis was given by magnetic resonance imaging angiography. Medical thrombolytic treatment, femoral embolectomy and then tendon resection, approached posteriorly, were applied to the popliteal region.
  
  
  CONCLUSIONS
  Repeated exterior microtraumas cause thickening in the arterial wall, early atherosclerosis, thrombus and ischemia. To diagnose this entity is difficult. Treatment should be surgical, oriented to abolish the compression.
  
  
  CONCLUSIONS
  In this case, we wanted to emphasize how quiet the progression of the PAES may be, and effacement of the compression is essential in the treatment. Femoral embolectomy does not have any aid to treatment.
authors.affiliation: Department of Cardiovascular Surgery, Etlik Ihtisas ˙Training and Research Hospital, Ankara, Turkey.
authors.forename: Erdal
authors.initials: E
authors.lastname: Simsek
authors.forename: Onursal
authors.initials: O
authors.lastname: Bugra
authors.forename: M Akif
authors.initials: MA
authors.lastname: Teber
authors.forename: S Fehmi
authors.initials: SF
authors.lastname: Katircioglu
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003097:Collateral Circulation; D019299:Decompression, Surgical / Q000379:methods*; D018450:Disease Progression; D017128:Embolectomy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D012039:Regional Blood Flow; D013710:Tendons / Q000601:surgery*; D015912:Thrombolytic Therapy; D016896:Treatment Outcome