Ruptured giant popliteal artery aneurysm

Cho, Min-Ji; Ahn, Sanghyun; Min, Seok-Ki; Min, Seung-Kee

doi:10.1016/j.jvscit.2016.08.003

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…A literature review conducted at the time of submission of this case report showed 62 [2][3][4][5][6][7][8][9][10][11][12][13] reported cases of ruptured PAA. Most cases reported were males, with an age range of 55-96 and a mean age of 81.…”

Section: Discussionmentioning

confidence: 99%

“…PAA rupture is a rare but recognized presentation that requires a rapid diagnosis and treatment for limb salvage [1]. The standard treatment for such ruptures is a surgical exclusion bypass; however, a number of other management options are described in the literature [2][3][4][5][6][7][8][9][10][11][12][13]. Such options include endovascular treatment with coil embolization [10] and/or stent graft.…”

Section: Introductionmentioning

confidence: 99%

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Successful Endovascular Repair of a Ruptured Popliteal Artery Aneurysm: A Case Report and Literature Review

Muir

Kulkarni

2020

Case Reports in Vascular Medicine

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Introduction. It is rare for a popliteal artery aneurysm (PAA) to present with rupture. This case reports a longer-term success in the management of a large ruptured popliteal artery aneurysm with an endovascular approach, with a literature review of management of such cases. Case Report. An 80-year-old man presented to the accident and emergency department with pain and swelling behind the left knee and at the back of the thigh. An ultrasound scan and subsequent CT angiogram revealed a large 9.4 cm ruptured PAA. The patient had significant comorbidities deeming him unfit for a major surgical intervention of drainage of haematoma and exclusion bypass. Therefore, he underwent urgent endovascular treatment of the ruptured PAA with a covered stent graft. A follow-up duplex scan at 1 year showed a patent stent with no evidence of endoleak, and the patient remained asymptomatic. A clinical follow-up at 18-and 24-month postprocedure showed a patent stent graft and complete resolution of haematoma.Conclusion. Whilst open repair with exclusion bypass may still be a treatment of choice, an endovascular approach is both safe and effective in the management of a ruptured PAA in an unfit patient with an acceptable longer-term outcome.

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