PMID: 9546846Apr 18, 1998Paper

Some popliteal aneurysms are congenital

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
D MelliereA Cavillon

Abstract

Although the majority of popliteal aneurysms are of atherosclerotic origin and are discovered in patients aged more than 50, the aetiology of a small minority may be attributed to arterial trauma, septic disruption, Behcet's disease, a medial fibromuscular dysplasia, or popliteal entrapment. The aim of this study was to propose a possible congenital origin for popliteal aneurysms without evidence of any other aetiology. A retrospective review of five younger patients (aged 20-45 years) with seven non-atherosclerotic popliteal aneurysms was performed. In patient nos 1 and 2, histological examination showed that the arterial wall had been replaced by an abundant collagenic tissue. After replacement by a saphenous bypass graft, these patients did well with a follow-up ranging from 1 to 15 years. Patient no. 3 was not operated on because of a symptomless occlusion of the tibial and peroneal arteries, and remains well 10 years later. Patients nos 4 and 5 were treated with a saphenous bypass graft. The last patient also had associated bilateral congenital anomalies of the division of the popliteal arteries. In the absence of any evidence of any classical aetiology, particularly fibromuscular dysplasia and popliteal entrapment, a cong...Continue Reading

References

Apr 1, 1990·The British Journal of Surgery·J J van den DungenJ W Oosterhuis
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Feb 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D C Berridge, J H Wolfe

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Citations

Sep 30, 2006·ANZ Journal of Surgery·Maher HamishSimon Ashley
Sep 3, 2011·Vascular·Xixiang GaoJian Zhang
Feb 9, 2012·The Journal of Physiology·Ki Jung Kim, Jessica A Filosa
Nov 19, 2020·European Heart Journal. Case Reports·Yukihito HigashiTatsuya Maruhashi

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