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Case Reports
. 2022 Mar 30;8(2):248-250.
doi: 10.1016/j.jvscit.2022.03.009. eCollection 2022 Jun.

Popliteal artery entrapment syndrome treated by a posterior approach in a 15-year-old athlete

Lili Sadri  1 , Robert L Myers  1 , Casey Paterson  1 , Quynh-Diem Lam  1 , Danielle M Pineda  1
Affiliations
Case Reports

Popliteal artery entrapment syndrome treated by a posterior approach in a 15-year-old athlete

Lili Sadri et al. J Vasc Surg Cases Innov Tech. .

Abstract

Popliteal artery entrapment syndrome is a rare source of claudication in young people. We present the case of a 15-year-old male athlete who presented with intermittent numbness of his right foot with exertion. Imaging revealed classic compression from a right type III popliteal artery entrapment. The left popliteal artery was chronically occluded with a large collateral vessel. He underwent release of the accessory bands of the gastrocnemius muscle with significant arteriolysis on the right side via a posterior approach. Chronic popliteal artery entrapment can be treated from a posterior approach, resulting in arterial occlusion and will be asymptomatic if well collateralized.

Keywords: Atypical arterial disease; Popliteal entrapment syndrome; Young claudicant.

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Figures

Fig 1
Fig 1
Magnetic resonance angiography (MRA) of bilateral lower extremities showing popliteal artery entrapment. The right (R) side shows compression, and the left (L) popliteal artery was occluded with a large collateral vessel.
Fig 2
Fig 2
Intraoperative photograph showing the popliteal artery and vein after gastrocnemius release in a posterior approach.
See this image and copyright information in PMC

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