关键词: Anatomic Variation Arteries Radiology Sports and exercise medicine Vascular surgery

Mesh : Humans Popliteal Artery / surgery diagnostic imaging Muscle, Skeletal / surgery blood supply Intermittent Claudication / surgery etiology Arterial Occlusive Diseases / surgery Male Adult

来  源:   DOI:10.1136/bcr-2024-259715

Abstract:
Popliteal artery entrapment syndrome (PAES) is a rare cause of intermittent claudication in the young. Aberrant embryological development results in entrapment of the popliteal artery by myofascial structures of the popliteal fossa. Type 4 PAES is due to aberrant development of the popliteus muscle superficial to the popliteal artery. We present a case of bilateral type 4 PAES, along with intraoperative photography highlighting the anatomical cause for this pathology. Both limbs in this patient were treated successfully with surgical release of the entrapping popliteus muscle via a posterior surgical approach to the popliteal fossa. This report emphasises the importance of determining popliteal artery integrity and entrapment subtype to guide the management of this condition.
摘要:
pop动脉卡压综合征(PAES)是年轻人间歇性跛行的罕见原因。胚胎发育异常导致pop窝的肌筋膜结构阻塞pop动脉。4型PAES是由于pop动脉浅表的pop肌的异常发育。我们介绍了一例双侧4型PAES,随着术中摄影突出了这种病理的解剖原因。通过对the窝的后部手术入路手术释放the肌,成功治疗了该患者的两肢。该报告强调了确定the动脉完整性和卡压亚型以指导这种情况的治疗的重要性。
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