J Korean Soc Vasc Surg.  1999 Apr;15(1):139-144.

Bilateral Popliteal Artery Entrapment Syndrome: A case report

Affiliations
  • 1Department of Surgery and 1Radiology, Hallym University, College of Medicine, Korea.

Abstract

A case of symptomatic bilateral popliteal artery entrapment syndrome is reported. A twenty-one-year old male, a candidate of athlete, complained of coldness, weakness, pallor and cyanosis of right lower leg and intermittent claudication to both calves during walking or exercise for ten months. Studies revealed that the right popliteal artery was completely occluded, but the left popliteal artery was non-occlusive. An endarterectomy and onlay vein patch graft to the thrombosed and fibrotic right popliteal artery, and myotomies of bilateral medial heads of gastrocnemius muscle were done (May 20, 1998). Follow-up examinations for the last ten months showed a complete relief of symptoms with normal distal arterial flow. It is thought that even though the majority of patients present with unilateral calf claudication, the possiblity of bilateral problems need to be also considered.

Keyword

Popliteal artery; Entrapment syndrome

MeSH Terms

Athletes
Cyanosis
Endarterectomy
Follow-Up Studies
Head
Humans
Inlays
Intermittent Claudication
Leg
Male
Muscle, Skeletal
Pallor
Popliteal Artery*
Transplants
Veins
Walking
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