Abstract
Popliteal artery aneurysms (PAAs) are the most common peripheral arterial aneurysms and develop almost exclusively (>90%) in men who have a history of tobacco abuse at an average age of 65 years. Most PAAs are caused by chronic inflammation secondary to atherosclerotic disease; other nondegenerative causes of PAAs include arterial trauma, infection, Behçet's disease, medial fibromuscular dysplasia, or popliteal artery entrapment. Few case reports have been published on idiopathic congenital PAAs. We report a case of a 26-year-old man who presented with progressive claudication and subsequent acute limb ischemia due to the thrombosis of a large idiopathic PAA. Our case demonstrates that the differential diagnosis of young adult or pediatric patients presenting with signs of acute limb ischemia or claudication should include a symptomatic PAA.
Published by Elsevier Inc.
MeSH terms
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Acute Disease
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Adult
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Aneurysm / complications*
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Aneurysm / diagnostic imaging
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Aneurysm / physiopathology
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Aneurysm / surgery
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Fasciotomy
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Humans
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Intermittent Claudication / diagnostic imaging
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Intermittent Claudication / etiology*
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Intermittent Claudication / physiopathology
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Intermittent Claudication / surgery
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Ischemia / diagnostic imaging
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Ischemia / etiology*
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Ischemia / physiopathology
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Ischemia / surgery
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Ligation
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Male
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Peripheral Arterial Disease / diagnostic imaging
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Peripheral Arterial Disease / etiology*
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Peripheral Arterial Disease / physiopathology
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Peripheral Arterial Disease / surgery
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Popliteal Artery* / diagnostic imaging
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Popliteal Artery* / physiopathology
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Popliteal Artery* / surgery
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Saphenous Vein / transplantation
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Thrombosis / diagnostic imaging
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Thrombosis / etiology*
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Thrombosis / physiopathology
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Thrombosis / surgery
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Treatment Outcome
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Vascular Grafting