Popliteal vein compression due to popliteal artery aneurysm: effects of aneurysm size.

Kotval, P S; Shah, P M; Babu, Sathish; Charalel, J; Reiter, Bruce P.

doi:10.7863/jum.1995.14.11.805

Cited by 6 publications

(5 citation statements)

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“…This is similar to another study, where 4 patients with PAA between 2 cm and 3 cm were presented with venous extrinsic compression. 4 Our patient’s PAAs were larger than these sizes; hence, causing signs and symptoms similar to the aforementioned studies. Mahmood et al 10 , on their study of 41 patients with 52 PAAs, reported only one patient with extrinsic venous compression by the mass effect of the PAA, causing leg swelling.…”

Section: Discussionsupporting

confidence: 79%

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Bilateral Vein Compression by Popliteal Artery Aneurisms Mimicking Post-Thrombotic Syndrome

González-Urquijo

Cassagne

Lozano-Balderas

et al. 2020

Vasc Endovascular Surg

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Purpose: To report a case of a 79-year-old man who presented a bilateral popliteal artery aneurysm compressing both popliteal veins mimicking signs and symptoms of post-thrombotic syndrome. Case Report: A 79-year-old male patient, was seen in the ambulatory clinic with a 2-year history of bilateral leg swelling, calf pain, chronic ulceration, and hyperpigmentation. Upon physical examination, lower extremities were edematous, with a 3 cm suppurative ulcer on each leg. Image studies showed a popliteal right arterial aneurysm of maximum diameter of 41.7 mm, extrinsically compressing the ipsilateral popliteal vein. Likewise, on the left leg, a popliteal arterial aneurysm of maximum diameter of 47.9 mm was encountered triggering the same phenomenon. Bilateral endovascular treatment deploying stent grafts was auspiciously performed. At 36-months follow up, his symptoms are completely resolved, and his ulcers healed. US follow up showed exclusion of the aneurysms with progressive shrinkage of both residual sacs. Conclusion: Popliteal artery aneurysm compressing and constraining flow in the popliteal vein must be included as a differential diagnosis among the causes of chronic venous syndromes. Prompt diagnosis with its appropriate treatment is needed for reducing severe complications caused by PAA, such as the venous disorder our patient had.

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Section: Discussionsupporting

confidence: 79%

“…Once a PAA reach a size greater than 4 cm, the compressive effect on the popliteal vein has a higher probability of being associated with DVT. 4 Our patient did not present this complication, even though his aneurysms measured more than 4 cm.…”

Section: Discussionmentioning

confidence: 47%

Bilateral Vein Compression by Popliteal Artery Aneurisms Mimicking Post-Thrombotic Syndrome

González-Urquijo

Cassagne

Lozano-Balderas

et al. 2020

Vasc Endovascular Surg

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“…Although the origins of the CAD are unknown, adventitial cysts are both biochemically and histologically similar to the ganglion. There are also vascular complications (e.g., popliteal aneurysm as described by Kotval et al) 3 Another vascular complication is popliteal entrapment, which was described by T. P. Anderson Stuart in 1879 as a variant of the popliteal artery. This is an uncommon condition usually affecting young otherwise healthy athletic men who are pain free at rest but have aching and numbness develop in the foot after exercise.…”

Section: Discussionmentioning

confidence: 98%

Ganglion “A Rare Finding in Popliteal Fossa”

Deibe

Ganepola

Strobeck

2003

Journal for Vascular Ultrasound

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Most medical conditions that occur in the popliteal fossa are symptomatic due to the compact anatomy of the area. Usually common problems behind the knee involve either the soft tissue, and/or vasculature and therefore are limited to several commonly known pathology and sequela. Complications behind the knee are mostly consistent in presentation due to a set of conditions, and are age/gender specific. Ultrasound is a noninvasive (and for the most part) painless and inexpensive exam with a high sensitivity for identifying atypical structures behind the knee. This article draws attention to a rare mass in the popliteal space, which required an alternate approach to a set protocol in order to meet the specific symptoms of the patient. As a result, we were able to identify the vascular effect caused by this mass. In this particular situation, with the aid of another diagnostic modality, proper assessment of the structure was made possible. The findings were consistent with a ganglion, which is a relatively uncommon occurrence behind the knee.

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“…Popliteal artery aneurysms large enough to impinge on the popliteal vein may result in the development of DVT. 18 Popliteal reflux with turbulent flow in the popliteal vein associated with a small ID is also correlated with a higher incidence of DVT. 19 Popliteal vein compression syndrome in obese patients is associated with a high rate of DVT 11 and, in the non-obese population, chronic popliteal vein entrapment caused by abnormal origin of the medial head of gastrocnemius or thick perivenous fascia is associated with symptoms such as swelling and pain of the lower limb.…”

Section: Discussionmentioning

confidence: 99%