the aneurysm and ligation of the PAA immediately proximal and distal to the aneurysm through two small medial incisions above and below the knee joint. The aneurysm was left insitu. Resection of the aneurysm were reserved for patients with local symptoms in the popliteal space [15]. The first endovascular repair of a PAA was reported in 1994 [16].

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An aneurysm is a balloon-like bulge or weakening of an artery wall, as it enlarges it puts pressure on surrounding structures, causing headache or vision 

However, among the aneurysms of the peripheral arteries, it is the most common: it accounts for 70-85% of aneurysms of the lower extremities. [ 1] Popliteal aneurysm and hemorrhage: A popliteal aneurysm (abnormal dilation of all or part of the popliteal artery) usually causes edema and pain in the popliteal fossa. A popliteal aneurysm may be distinguished from other masses by palpable pulsations (thrills) and abnormal arterial sounds (bruits) detectable with a stethoscope. Popliteal artery aneurysms (PAAs) account for 85% of all peripheral aneurysms.

A popliteal aneurysm

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The popliteal artery is considered a continuation of the superficial femoral artery after it passes through the adductor magnus hiatus. You are at risk of a popliteal artery aneurysm if: You have high blood pressure and high cholesterol You have a bacterial infection You smoke There is blood vessel reconstruction in one or both legs Popliteal aneurysms are true aneurysms involving all layers of the vessel wall (intima, media, adventitia). Pseudoaneurysm formation in the popliteal artery has also been described but is rare [ 2 ]. Popliteal aneurysms are described as fusiform (ie, diffusely dilated) or saccular (ie, rounded and typically asymmetric).

Medical anatomy illustration. Comparison of Angiography left femoral artery showing vessel isolated on white background in  SwePub titelinformation: Popliteal artery aneurysm : epidemiology and modern management.

World J Surg 2016 Dec;40(12):3080-3087. Patients with abdominal aortic aneurysm have a high prevalence of popliteal artery aneurysms. Tuveson V, Löfdahl 

Popliteal Aneurysms - Endovascular or Surgical ApproachWhat's the Evidence and When Is One Approach Better Than The Other?Neal S. Cayne, MD, PhD Possibly: The popliteal artery is the third most common location for a aneurysm. These frequently occur in both legs. Patients who have one aneurysm are more likely to develop others in the aorta and femoral ( groin ) and iliac arteries. Introduction Popliteal venous aneurysms are uncommon but potentially fatal vascular disorders.

Background: Abdominal aortic aneurysm (AAA), a localized dilatation of the The popliteal artery (PA) is, after aorta, the most common site for aneurysm 

A popliteal aneurysm

Gamstorp, disease. aneurysm: coord IM with AORTIC ANEURYSM (IM); ruptured aneurysm of sinus: coord IM with AORTIC RUPTURE (IM). ANVÄNDNINGSANMÄRKNING. (08-08)* brustet eller symtomatiskt aneurysm svår ischemi och/eller septisk infektion extremitetens vitalitet agulabilitet.

Any of these complications can lead to limb loss or even death.
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strong association with abdominal aortic aneurysms (AAA); ~ 40% of patients with a popliteal artery aneurysm have a AAA, though only 10-15% of patients with AAA have popliteal artery aneurysms although rare, connective tissue diseases (e.g. Ehlers-Danlos) are associated with multiple arterial aneurysms at an early age 11 Background: Popliteal vein aneurysm is a rare but potentially problematic disease with a risk of pulmonary embolism. Method: A systematic literature search was performed.

It is situated quite deeply in the leg behind the knee.
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De Basso, R. Welander, M. Mani, K. , Wanhainen A. (2021). Metformin Prescription Associated with Reduced Abdominal Aortic Aneurysm Growth Rate and 

Aneurysm thrombosis and critical limb ischemia is the most feared complication of a popliteal artery aneurysm. The majority of popliteal aneurysms are bilateral (as in this case). This patient was started on an IV heparin infusion and transferred to a tertiary hospital where he underwent emergent fem-pop bypass grafting. A popliteal artery aneurysm is an abnormal bulge that occurs in the wall of the popliteal artery, which supplies blood flow to the knee joint, thigh and calf.


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Popliteal venous aneurysms (PVAs) are the most common lower limb venous aneurysm and have significant consequences including deep vein thrombosis, pulmonary embolus (PE), and death. A 52-year-old woman presented with chest pain and shortness of breath.

Popliteal artery aneurysms (PAAs) account for 85% of all peripheral aneurysms.

Jan 14, 2015 His PVD history includes above-the-knee amputation of his left leg for thrombosis involving left popliteal artery aneurysm (PAA) and stent graft 

[ncbi.nlm.nih.gov] A clinical examination revealed a pyrexic patient with a swollen, pulsatile and tender right upper calf mass, palpable distal pedal pulses and foot drop (Figure 1 ).

Author information: (1)Department of Surgery, Faculty of Medical Sciences, Santa Casa de São Paulo, São Paulo, Brazil. Aneurysm thrombosis and critical limb ischemia is the most feared complication of a popliteal artery aneurysm. The majority of popliteal aneurysms are bilateral (as in this case). This patient was started on an IV heparin infusion and transferred to a tertiary hospital where he underwent emergent fem-pop bypass grafting. A popliteal artery aneurysm is an abnormal bulge that occurs in the wall of the popliteal artery, which supplies blood flow to the knee joint, thigh and calf.