Candrian C, Nussbaumer P, Furrer M
Chirurgisches Departement, Rätisches Kantons- und Regionalspital Chur.
Swiss Surg. 2002;8(5):224-9. doi: 10.1024/1023-9332.8.5.224.
Popliteal artery entrapment is a rare cause of claudication symptoms, but should always be included in the differential diagnosis of lower limb ischaemia in young patients, especially men. On an embryological basis, PAES is the result of the abnormal development of the popliteal artery or the gastrocnemius muscle. The anomaly is manifested as one of four types. Untreated, the entrapment results in the deterioration of the artery, resulting in eventual occlusion. Presenting the case of a 37 year old female patient with bilateral PAES and a review of the literature we discuss the clinical findings, diagnosis, treatment options and the management of the often asymptomatic opposite side.
腘动脉受压是间歇性跛行症状的罕见原因，但在年轻患者，尤其是男性下肢缺血的鉴别诊断中应始终予以考虑。从胚胎学角度来看，腘动脉受压综合征（PAES）是腘动脉或腓肠肌异常发育的结果。这种异常表现为四种类型之一。若不治疗，动脉受压会导致其恶化，最终导致闭塞。本文介绍了一名37岁双侧PAES女性患者的病例，并回顾了相关文献，我们讨论了临床发现、诊断、治疗选择以及对通常无症状的对侧的处理。
