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Bilateral giant femoropopliteal artery aneurysms: a case report.

Perdikides TP, Avgerinos E, Christianakis E, Fotis T, Chronopoulos A, Siafakas KX, Pashalidis N, Filippou DK - J Med Case Rep (2008)

Bottom Line: Popliteal artery aneurysms are the most common peripheral arterial aneurysms, and are frequently bilateral.Both aneurysms were resected and a polytetrafluoroethylene (PTFE) femoropopliteal interposition graft was placed successfully.Management and literature review are discussed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Thoracic and Vascular Surgery, Hellenic Airforce Hospital, Galatsi, Athens, Greece. perdik@otenet.gr

ABSTRACT

Introduction: Popliteal artery aneurysms are the most common peripheral arterial aneurysms, and are frequently bilateral. Acute limb ischemia, rupture and compression phenomena can complicate these aneurysms when the diameter exceeds 2 cm.

Case presentation: We report an 82-year-old male patient with two giant femoropopliteal aneurysms, 10.5 and 8.5 cm diameters, managed in our institution. Both aneurysms were resected and a polytetrafluoroethylene (PTFE) femoropopliteal interposition graft was placed successfully. Management and literature review are discussed.

Conclusion: We believe this is the first report in the medical literature of bilateral giant femoropopliteal aneurysms.

No MeSH data available.


Related in: MedlinePlus

Operative field. A: Right femoropopliteal aneurysm. B: Left femoropopliteal aneurysm.
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Figure 2: Operative field. A: Right femoropopliteal aneurysm. B: Left femoropopliteal aneurysm.

Mentions: Both aneurysms were resected following the same procedure, although there was a two-month interval between each resection. A 'classic' medial approach was used. The aneurysm was dissected carefully, incised longitudinally, the thrombi were evacuated, collaterals were oversewn from within the aneurysm, which finally was excised and replaced by an 8 mm PTFE femoropopliteal interposition graft (Figures 2 and 3). On both occasions, the postoperative course was uneventful. Two years later, arteriographic and Doppler examination showed patent bypass bilaterally.


Bilateral giant femoropopliteal artery aneurysms: a case report.

Perdikides TP, Avgerinos E, Christianakis E, Fotis T, Chronopoulos A, Siafakas KX, Pashalidis N, Filippou DK - J Med Case Rep (2008)

Operative field. A: Right femoropopliteal aneurysm. B: Left femoropopliteal aneurysm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2365963&req=5

Figure 2: Operative field. A: Right femoropopliteal aneurysm. B: Left femoropopliteal aneurysm.
Mentions: Both aneurysms were resected following the same procedure, although there was a two-month interval between each resection. A 'classic' medial approach was used. The aneurysm was dissected carefully, incised longitudinally, the thrombi were evacuated, collaterals were oversewn from within the aneurysm, which finally was excised and replaced by an 8 mm PTFE femoropopliteal interposition graft (Figures 2 and 3). On both occasions, the postoperative course was uneventful. Two years later, arteriographic and Doppler examination showed patent bypass bilaterally.

Bottom Line: Popliteal artery aneurysms are the most common peripheral arterial aneurysms, and are frequently bilateral.Both aneurysms were resected and a polytetrafluoroethylene (PTFE) femoropopliteal interposition graft was placed successfully.Management and literature review are discussed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Thoracic and Vascular Surgery, Hellenic Airforce Hospital, Galatsi, Athens, Greece. perdik@otenet.gr

ABSTRACT

Introduction: Popliteal artery aneurysms are the most common peripheral arterial aneurysms, and are frequently bilateral. Acute limb ischemia, rupture and compression phenomena can complicate these aneurysms when the diameter exceeds 2 cm.

Case presentation: We report an 82-year-old male patient with two giant femoropopliteal aneurysms, 10.5 and 8.5 cm diameters, managed in our institution. Both aneurysms were resected and a polytetrafluoroethylene (PTFE) femoropopliteal interposition graft was placed successfully. Management and literature review are discussed.

Conclusion: We believe this is the first report in the medical literature of bilateral giant femoropopliteal aneurysms.

No MeSH data available.


Related in: MedlinePlus