Unusual cause of acute lower extremity ischemia in a healthy 15-year-old female: A case report and review of popliteal artery aneurysm management in adolescents

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• 作者：David M. Notrica^a ; ^b ; ^{dnotrica@phoenixchildrens.com" class="auth_mail" title="E-mail the corresponding author} ; Emilie Amaro^c ; Maria E. Linnaus^a ; ^b ; Jozef Zoldos^d
• 关键词：Pediatric ; Popliteal aneurysm ; Peripheral ischemia
• 刊名：Journal of Pediatric Surgery Case Reports
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：14
• 期：Complete
• 页码：8-11
• 全文大小：837 K

文摘

Limb ischemia in healthy teenagers is unusual. While traumatic or iatrogenic injury is the most common etiologies of limb ischemia in the pediatric population, anatomic variants such as true aneurysms should be considered [1]. We report the second documented pediatric case of an idiopathic, isolated true popliteal aneurysm resulting in acute limb ischemia in a previously healthy 15-year-old female. We also review the proper evaluation and surgical management of this anatomic anomaly. In this case, surgical management included resection of the aneurysm, reconstruction with reverse saphenous vein grafting, and distal endarterectomies to restore adequate distal blood flow. Ultimately, this patient's limb and function were salvaged with minimal consequences.