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KMID : 0882420120830060786
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Korean Journal of Medicine
2012 Volume.83 No. 6 p.786 ~ p.790
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Total Popliteal Artery Occlusion after Stent Insertion Diagnosed as Popliteal Artery Entrapment Syndrome
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Kim Eun-Hye
Lee In-Sun
Kim Seong-Hwan
Shin Sang-Hun
Lee Taek-Yeon
Lee Do-Yun
Choi Dong-Hoon
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Abstract
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Entrapment of the popliteal artery is a rare cause of ischemia of the lower extremities in young males. The development of local occlusive or aneurysmal changes of the popliteal artery is caused by abnormal anatomical relationships between vascular and musculotendinous structures in the popliteal fossa. A 55-year-old male patient visited Yonsei University College of Medicine with the chief complaint of claudication in his right calf. He had undergone stent insertion in the right popliteal artery for peripheral artery occlusive disease 2 years earlier. Lower extremity CT angiography showed stent fracture and in-stent thrombosis. He underwent femoral-to-popliteal artery bypass surgery. Postoperative lower extremity CT angiography showed that the vein graft was compressed between the medial head of the gastrocnemius and the semimembranosus muscle. However, the blood flow was normal and his pain was relieved.
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KEYWORD
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Entrapment syndrome, Popliteal artery, Bypass surgery
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