Popliteales Entrapmentsyndrom

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• 作者：Dr. C. Heidenhain (1)
  G. Krings (2)
  G. Puhl (1)
  
• 关键词：Popliteales Entrapmentsyndrom ; Poplitealarterienaneurysma ; Akute Extremit盲tenisch盲mie ; Popliteal entrapment syndrome ; Popliteal artery aneurysm ; Acute limb ischemia
• 刊名：Gef?sschirurgie
• 出版年：2008
• 出版时间：October 2008
• 年：2008
• 卷：13
• 期：5
• 页码：358-362
• 全文大小：709KB
• 参考文献：1. Bernheim JW, Hanson J, Faries P et al. (2004) Acute lower extremity ischemia in a 7-year-old boy: an unusual case of popliteal entrapment syndrome. J Vasc Surg 39: 1340鈥?343 CrossRef
  2. Goh BK, Tay KH, Tan SG (2005) Diagnosis and surgical management of popliteal artery entrapment syndrome. ANZ J Surg 75: 869鈥?73 CrossRef
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  4. Levien LJ, Veller MG (1999) Popliteal artery entrapment syndrome: more common than previously recognized. J Vasc Surg 30: 587鈥?98 CrossRef
  5. Marzo L di, Cavallaro A, Sciacca V et al. (1991) Surgical treatment of popliteal artery entrapment syndrome: a ten-year experience. Eur J Vasc Surg 5: 59鈥?4 CrossRef
  6. Marzo L, Cavallaro A, Mingoli A et al. (1997) Popliteal artery entrapment syndrome: the role of early diagnosis and treatment. Surgery 122: 26鈥?1 CrossRef
  7. Marzo L di, Cavallaro A, Sciacca V et al. (1994) Natural history of entrapment of the popliteal artery. J Am Coll Surg 178: 553鈥?56
  8. Ohara N, Miyata T, Oshiro H, Shigematsu H (2001) Surgical treatment for popliteal artery entrapment syndrome. Cardiovasc Surg 9: 141鈥?44 CrossRef
  9. Schwarz T, Schellong SM, Neumann U et al. (1999) Popliteal entrapment syndrome: non-invasive diagnosis and complete recovery after surgery in an 11-year-old boy. Pediatr Radiol 29: 109鈥?11 CrossRef
  
• 作者单位：Dr. C. Heidenhain (1)
  G. Krings (2)
  G. Puhl (1)
  
  1. Klinik f眉r Allgemein-, Viszeral- und Transplantationschirurgie, Universit盲tsmedizin Berlin - Charite Campus Virchow, Augustenburger Platz 1, 13353, Berlin, Deutschland
  2. Klinik f眉r P盲diatrie mit Schw. Kardiologie, Universit盲tsmedizin Berlin - Charite Campus Virchow, Berlin, Deutschland
  

文摘

Popliteal entrapment syndrome (PES) can be a rare cause of chronic or acute lower limb ischemia. PES is characterized as an abnormal relationship between the neurovascular and tendomuscular structures within the popliteal fossa. This mallocation may lead to progressive injury of the popliteal artery. In the case of a 7-year-old boy, PES led to a popliteal artery aneurysm (PAA) with a concomitant acute embolization into the peripheral arteries of the lower limb. Embolectomy and resection of the PAA with interposition of a saphenous graft did not establish a durable therapy. Six months after the operation, we observed a recurrence of the PAA (within the saphenous interposition graft). Only the lateralization (here, of the graft) into an orthotopic location led to long-term success. PES is a progressive disease in which surgical transposition of the popliteal artery with or without saphenous interposition is the treatment of choice.