Abstract
A popliteal artery aneurysm is defined as a dilation of the popliteal artery greater than 20 mm, or greater than 50% at diameter of the native artery. Popliteal artery aneurysms are rare, but are most common in the lower extremities. These aneurysms have a high risk of ischemic complications and amputations even in unoperated patients. We describe the case of a 54-year-old man, hypertensive, with a large popliteal artery aneurysm. Doppler ultrasound and CT angiography of the lower limbs showed a 100 × 80 mm aneurysm of the popliteal artery. This aneurysm is responsible for venous compression with edema of the tissues under the skin. The patient was treated and a flattening of the aneurysm associated with bypass by the inverted right internal saphenous vein taken from the ipsilateral leg was performed. The patient was discharged on the 6th day of the operation. The patient was seen again at the outpatient clinic for one month and in the 3rd month an arterial Doppler ultrasound of the lower limbs performed had shown patency of the venous graft and disappearance of the intermittent claudication.
Highlights
A popliteal artery aneurysm is defined as a dilation of the popliteal artery greater than 20 mm, or greater than 50% at diameter of the native artery
We describe the case of a 54-year-old man, hypertensive, with a large popliteal artery aneurysm
By confining ourselves to the rigorous explanation of the word aneurysm or aneurusm, as the famous Von-Swieten wrote, we find that it comes from the Greek word which literally means dilation [1]
Summary
Popliteal aneurysms have been known from ancient Egypt. By confining ourselves to the rigorous explanation of the word aneurysm or aneurusm, as the famous Von-Swieten wrote, we find that it comes from the Greek word which literally means dilation [1]. Galen, appeared to be the first to describe the aneurysm [1] [2]. The popliteal artery aneurysm was considered incurable; no other resource was known to save the patient’s life than amputation of the limb. The anatomical details given by Heister suggested the possibility of undertaking popliteal artery surgery. Desault in 1785, Jean Hunter performed the operation for the popliteal artery aneurysm for the first time. Hunter’s method was first used in France in 1792 by Chopart [1]
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