Open repair of a symptomatic popliteal artery aneurysm in a 71-year-old patient: Case report

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F19%3A00078448" target="_blank" >RIV/00023001:_____/19:00078448 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/19:10399090 RIV/00216208:11130/19:10399090

Výsledek na webu

<a href="https://e-coretvasa.cz/pdfs/cor/2019/05/15.pdf" target="_blank" >https://e-coretvasa.cz/pdfs/cor/2019/05/15.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2018.03.001" target="_blank" >10.1016/j.crvasa.2018.03.001</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Open repair of a symptomatic popliteal artery aneurysm in a 71-year-old patient: Case report

Popis výsledku v původním jazyce

Introduction: The most frequent site for true peripheral artery aneurysm formation is the popliteal artery (PA). The clinical presentation of popliteal artery aneurysm (PAA) ranges from the finding of an asymptomatic pulsatile popliteal mass on routine physical examination to acute limb-threatening ischaemia. Case presentation: We are presenting a case of a 71-year-old male patient with 100 m claudication interval on the left lower extremity, with a palpable pulsating circular resistance in the left popliteal fossa. Based on CT angiography results, the patient was diagnosed with a proximal popliteal artery aneurysm. A posterior approach was used for the dissection of the aneurysm. The aneurysm was carefully dissected between semi-membranosus and biceps femoris muscles. Vascular cross-clamps were placed above the proximal PAA on the distal superficial femoral artery (DSFA) and below on the popliteal artery between PA1 and PA2 segments. The aneurysm was removed, and surgical revascularisation with end-to-end anastomosis to the DSFA and proximal PA was performed with a 7 mm polyethylene-terephthalate vascular prosthesis. The patient was discharged on the third postoperative day without any complications with patent vascular graft and palpable crural arteries. The patient remains with a patent prosthetic graft 4 months after the surgery without any ultrasonographic signs of stenosis. Conclusion: Up-to-date, open surgical resection remains a gold standard in the treatment of PAA with superior long-term results over endovascular techniques. Nevertheless, new endovascular techniques are becoming more sophisticated, allowing us to use these endovascular modalities as an alternative treatment option in selected patients.

Název v anglickém jazyce

Open repair of a symptomatic popliteal artery aneurysm in a 71-year-old patient: Case report

Popis výsledku anglicky

Introduction: The most frequent site for true peripheral artery aneurysm formation is the popliteal artery (PA). The clinical presentation of popliteal artery aneurysm (PAA) ranges from the finding of an asymptomatic pulsatile popliteal mass on routine physical examination to acute limb-threatening ischaemia. Case presentation: We are presenting a case of a 71-year-old male patient with 100 m claudication interval on the left lower extremity, with a palpable pulsating circular resistance in the left popliteal fossa. Based on CT angiography results, the patient was diagnosed with a proximal popliteal artery aneurysm. A posterior approach was used for the dissection of the aneurysm. The aneurysm was carefully dissected between semi-membranosus and biceps femoris muscles. Vascular cross-clamps were placed above the proximal PAA on the distal superficial femoral artery (DSFA) and below on the popliteal artery between PA1 and PA2 segments. The aneurysm was removed, and surgical revascularisation with end-to-end anastomosis to the DSFA and proximal PA was performed with a 7 mm polyethylene-terephthalate vascular prosthesis. The patient was discharged on the third postoperative day without any complications with patent vascular graft and palpable crural arteries. The patient remains with a patent prosthetic graft 4 months after the surgery without any ultrasonographic signs of stenosis. Conclusion: Up-to-date, open surgical resection remains a gold standard in the treatment of PAA with superior long-term results over endovascular techniques. Nevertheless, new endovascular techniques are becoming more sophisticated, allowing us to use these endovascular modalities as an alternative treatment option in selected patients.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

—

Svazek periodika

61

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

4

Strana od-do

515-518

Kód UT WoS článku

000491179500015

EID výsledku v databázi Scopus

2-s2.0-85044085011