Surgical Management of an Infected Popliteal Artery Aneurysm

Abstract

Infective aneurysms are rare due to the antimicrobial advances and the early treatment of systemic infections. They represent a diagnostic and therapeutic challenge. The treatment for these cases is generally characterised by excision and reconstruction using an autologous vein graft. We describe a case of a 66-year-old man who presented an 8 cm infected popliteal aneurysm where urgent surgical approach was performed. The vascular continuity was restored with a basilic vein. Clinical follow-up showed no signs of recurrent infection and patent bypass without any anastomotic pseudoaneurysm after a year.

A Surgical Case of Infected Popliteal Artery Aneurysm From Rare Bacteria, Eubacterium sp

“…Mycotic PAAs pose a high risk of rupture and require prompt surgical treatment immediately upon diagnosis. The basic treatment strategy involves the removal of the aneurysm and infected tissue, followed by revascularization using autologous vein grafts [ 10 ]. There are two approaches for the treatment of infected PAA: medial and posterior.…”

Management of Chronic Massive Traumatic Popliteal Artery Pseudoaneurysm: A Case Series With Different Treatment Strategies

“…1,3 In addition, popliteal fossa tumors, bony growths, and infections can lead to the same pathology. 9,11,12 Several cases have been reported in the management of femoral and popliteal artery pseudoaneurysm secondary to femoral exostoses. 12 In these scenarios, the clinical suspicion often leads to the diagnosis and patients are referred to surgical management.…”

“…Popliteal artery pseudoaneurysms are rare, however may be limb threatening if left untreated. 1 Most reported etiologies include orthopedic traumas, [1][2][3][4][5] followed by tumors, both malignant and benign, [6][7][8] and infections 9 in the popliteal fossa. Due to variability in mechanism of injury, pseudoaneurysms may have delayed presentations allowing the sac to grow and cause symptoms.…”

Popliteal Artery Pseudoaneurysm after Prolonged Stress Position

“…The complications (rupture, thromboembolism, among others.) are associated with high morbidity and mortality and has a significant risk of major amputation [4]. Treatment alternatives include ultrasound-guided thrombin injection, stenting and open repair [1].…”