Shen James, Abu-Hamad Ghassan, Makaroun Michel S, Chaer Rabih A
Division of Vascular Surgery, The University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
Vasc Endovascular Surg. 2009 Aug-Sep;43(4):395-8. doi: 10.1177/1538574409334830. Epub 2009 Jul 23.
Popliteal artery entrapment syndrome (PAES) is the most common cause of lower leg claudication in patients younger than 50 years. The different types of PAES can result in different rates of arterial damage, leading to aneurysmal degeneration or occlusion. We report a rare case of a young patient presenting with asymmetrical bilateral popliteal artery entrapment. Type III PAES on the right resulted in severe limb ischemia and was treated by division of the accessory tendon and replacement of damaged artery with vein graft. On the left, the medial head of gastrocnemius was resected to release a type I PAES.
腘动脉压迫综合征（PAES）是50岁以下患者小腿间歇性跛行最常见的原因。不同类型的PAES可导致不同程度的动脉损伤，进而导致动脉瘤样变性或闭塞。我们报告一例罕见的年轻患者，表现为双侧不对称性腘动脉压迫。右侧的III型PAES导致严重肢体缺血，通过切断副肌腱并用静脉移植物置换受损动脉进行治疗。左侧则切除腓肠肌内侧头以解除I型PAES。
