Abstract
Popliteal artery entrapment syndrome occurs due to an extrinsic compression of the popliteal vessels that results in vascular damage. It is one of the most frequent causes of intermittent claudication in young patients. The authors describe a case of bilateral syndrome by anomalous position of the gastrocnemius muscle, with abnormal slip of its medial head (Rich's type III). During the operation the occluded right side was reconstructed by autologous saphenous vein bypass from femoral superficial to peroneal artery and on the left side the slip muscle was transected by posterior approach. Popliteal artery entrapment syndrome should be treated by surgery despite the degree of symptoms. Surgical treatment technique has released the vessel by extracting the muscle that caused entrapment, and reconstructing the narrow lumen bypass grafting.
Highlights
Popliteal artery entrapment syndrome is an unusual disease that typically affects young athletic males, causing symptoms of claudication and chronic leg ischemia.[1,2,3] The prevalence is in a 0.16-3.5% range in the general population.[4]
In younger patients it appears as an intermittent claudication, in which this etiology occurs in around 40%
Case report A 20-year-old white man was admitted to our medical service center with intermittent claudication in his right leg after walking a 200-meter distance
Summary
Fabricio Mascarenhas de Oliveira,[1] Aline Cristine Barbosa Santos,[1] Alexandre Mitoshi Takito,[2] Edgard Bolanho,[2] Regina de Faria Bittencourt da Costa,[3] Nelson Fernandes Jr.[4]
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