Delayed presentation of traumatic popliteal artery pseudoaneurysms: a review of seven cases

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
J D WoolgarJ V Robbs

Abstract

to examine the management and outcome of patients with traumatic popliteal artery pseudoaneurysms with delayed presentation. over a 2-year period 7 patients with traumatic popliteal pseudoaneurysms presenting to a tertiary referral unit after a delay of 1 month were reviewed. a retrospective review of clinical records. the median interval between injury and presentation was 1.5 months (range 1-24 months). Penetrating trauma from gunshot wounds was the cause of the initial vascular injury in 6 patients and a stab wound in one. All patients had large pseudoaneurysms of more than 8 cm filling the popliteal fossa with variable degrees of fixed flexion deformity (FFD) of the knee. Severe FFD of more than 40 degrees was noted in 2 patients and 3 others had mild flexion deformities of 10 to 20 degrees. Six patients underwent repair of the pseudoaneurysm. One patient required an above knee amputation due to an infected false aneurysm. There were no deaths or graft related complications. Despite aggressive post-operative physiotherapy only 2 patients were able to completely straighten the leg at the time of discharge. in patients with neglected popliteal artery pseudoaneurysms, morbidity is associated with the pre-operative degree of fi...Continue Reading

References

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Citations

Oct 17, 2007·Journal of Neurosurgery·Zoran RoganovićMilenko Savić
Aug 9, 2007·Cardiovascular and Interventional Radiology·Ertugrul MaviliYigit Akcali
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