Popliteal Artery Entrapment Syndrome Presented with Popliteal Artery Pseudoaneurysm: A Case Report

Abstract

Popliteal artery entrapment syndrome (PAES) is a rare vascular disorder characterized by the compression of the popliteal artery behind the knee, primarily affecting physically active individuals. This is a case of a 36-year-old man who presented with a 1-week history of sudden-onset left leg pain. Diagnostic evaluation, including physical examination, color duplex ultrasonography, computed tomography, and magnetic resonance imaging, revealed a popliteal artery pseudoaneurysm caused by type 5 PAES. The patient underwent surgical exploration to release the entrapment, followed by an interposition graft with the ipsilateral great saphenous vein. Patient postoperative recovery was uneventful, with significant symptomatic improvement. This case underscores the significance of considering PAES as a differential diagnosis in young patients with popliteal artery aneurysms and highlights the necessity for prompt diagnosis and treatment to prevent limb-threatening complications.

Management of Pseudoaneurysm as a Delayed Complication after Using Rotational Atherectomy in Popliteal Artery Atherosclerosis: A Case Report

“…Traditionally, peripheral pseudoaneurysms have been treated with open surgical repair to effectively mitigate thromboembolic risk [ 14 ]. However, endovascular treatment has gained popularity owing to reduced blood loss, shorter hospital stays, and quicker recovery [ 15 ].…”

Case Report: Popliteal artery entrapment syndrome as a cause of deep vein thrombosis and subsequent popliteal artery occlusion

“…In anatomic PAES, the claudication could result from stenosis or occlusion of an injured PA by repeated trauma (2,3). However, other clinical manifestations, such as chronic pain, acute limb ischemia, and pulsating mass due to aneurysmal changes in the PA, have also been reported in the literature (3,4). Additionally, a few cases of deep vein thrombosis (DVT) have been reported in association with PAES (5).…”