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[Arthroscopic meniscectomy complicated by lesions to the popliteal artery and vein].

Endoscopic surgery can replace operative procedures. The evolution of arthroscopy leads to realize intra articular surgery more and more complicated. However, any surgical procedure involve some risks, and surgeons have to be prudent in use of new instruments or new technics. These need a radio surgical environment adapted to all surgery.

Arthroscopy↗

Doppler ultrasound in the diagnosis of the popliteal artery entrapment syndrome.

Doppler pulse recordings in a patient with asymptomatic popliteal entrapment were compared with those in 25 normal subjects. A drop in pulse amplitude and ankle systolic pressure produced by forcible leg extension and active foot plantar flexion distinguished the patient with the anomaly from the controls, in whom no change was noted during these manoeuvres. This simple, non-invasive test thus diagnosed a potentially limb-threatening congenital abnormality in an asymptomatic patient with equivocal arteriographic findings.

Adolescent↗

Surgical treatment of popliteal artery aneurysms.

OBJECTIVES: To report the results of surgical treatment of popliteal aneurysms with respect to symptoms and aneurysm size. DESIGN: A retrospective study based on prospectively registered data, in a single vascular unit. PATIENTS AND METHODS: Forty-nine patients were subjected to 57 operations from May 1974 to June 2000. Patency and limb salvage rates are compared for limbs with and without symptoms of ischaemia, and for small (2 cm or less) and large (> 2 cm) aneurysms. The long-term survival rate was calculated and compared with that of an age and sex-matched population. RESULTS: The overall 5 year graft patency was 60%. It was 83% for asymptomatic limbs and 49% for limbs with ischaemic symptoms. This difference was significant (p < 0.05). The overall 5 year limb salvage rate was 76%. It was 100% for asymptomatic and 64% for symptomatic limbs and this difference was significant (p < 0.05). Twenty-one of the aneurysms were 2 cm or less in diameter and 85% of these caused symptoms of ischemia. The operative mortality was 4%. The 5-year survival rate was 57% and significantly lower than that of a demographically matched population. CONCLUSION: The results of prophylactic operations for popliteal aneurysms on asymptomatic limbs are significantly better than those of operations done on limbs with ischaemic symptoms. The aneurysm size at which to recommend surgery is still not settled.

Adult↗

Ruptured popliteal artery aneurysm: a case report.

A high index of suspicion for popliteal aneurysms must be present when evaluating a popliteal mass. Though typically pulsatile, in the presence of chronic thrombosis, the absence of a pulse may make the diagnosis even more difficult. A case is presented that illustrates this point, where an 83-year-old man presents following the biopsy of what turned out to be a very large popliteal aneurysm. In the presence of chronic thrombosis and adequate collateral flow, decompression and ligation of any feeding vessels is typically sufficient. These patients must be followed lifelong for the development of other associated aneurysms.

Aged, 80 and over↗

[True aneurysms of the popliteal artery--surgical treatment].

The authors discuss the history of treatment of popliteal aneurysm, causes of its development and its surgical treatment. They recommend surgery of an asymptomatic aneurysm with a diameter greater than 2 cm because of possible development of thrombosis with subsequent embolization into the periphery and development of gangrene of the extremity which may end by amputation. Early thrombolysis of a thrombotized aneurysm can be successful and combined with subsequent surgery can save the extremity. When a peripheral aneurysm is detected thorough surgical examination is necessary using ultrasonography, computed tomography and magnetic resonance resp. to detect aneurysms at other sites.

Aneurysm↗

[Acute rupture of an aneurysm of the popliteal artery: case report].

A case of acute rupture of an atherosclerotic popliteal aneurysm is reported. The popliteal aneurysm was partially resected and revascularisation of the leg was successfully performed by implantation of an e-PTFE-prosthesis. The postoperative course was uneventful and the patient remained asymptomatic two years later. The peculiarities of the diagnosis and the surgical treatment of the acute rupture of a popliteal aneurysm are reported. We think that in the management of the popliteal aneurysm a prophylactic surgical repair is the treatment of choice.

Acute Disease↗

Pseudoaneurysm of the popliteal artery following arthroscopic meniscectomy.

A pseudoaneurysm was diagnosed by ultrasound of popliteal fossa in a 40-year-old female following arthroscopic meniscectomy. The patient was treated successfully with a reversed saphenous vein graft (SVG). This case is used to review the literature concerning the complications of arthroscopic meniscectomy.

Adult↗