Rabkin D G, Goldstein D J, Flores R M, Benvenisty A I
Division of Vascular Surgery, Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, NY, USA.
J Vasc Surg. 1999 Apr;29(4):737-40. doi: 10.1016/s0741-5214(99)70326-5.
Spontaneous arterial dissection of a peripheral artery involving an extremity is a rare event. We report a case of atraumatic, nonaneurysmal dissection of the popliteal artery that occurred in a 62-year-old man who was admitted with progressive right lower-extremity claudication. Preoperative arteriography was suggestive of arterial dissection, and surgical treatment was undertaken before irreversible ischemia developed. Intraoperatively, a dissection of the popliteal artery was observed, and the patient underwent femoral-popliteal bypass grafting with the ipsilateral, greater saphenous vein and the popliteal artery was ligated distal to the dissection. Spontaneous dissection limited to the popliteal artery has not previously been reported in the literature. Successful management depends on consideration of the diagnosis, particularly when other, more common diseases have been excluded.
累及四肢的外周动脉自发性动脉夹层是一种罕见事件。我们报告一例62岁男性发生的腘动脉非创伤性、非动脉瘤性夹层病例，该患者因进行性右下肢间歇性跛行入院。术前动脉造影提示动脉夹层，在不可逆缺血发生前进行了手术治疗。术中观察到腘动脉夹层，患者接受了同侧大隐静脉股腘旁路移植术，并在夹层远端结扎了腘动脉。文献中此前尚未报道过仅限于腘动脉的自发性夹层。成功的治疗取决于对诊断的考虑，尤其是在排除了其他更常见疾病的情况下。
