Faccenna F, Alunno A, Felli M M G, Castiglione A, Izzo P, Gossetti B, Stagnitti F, Laurito A, Izzo L, Gattuso R
Vascular Surgery Department, Sapienza, University of Rome, Italy.
G Chir. 2011 Aug-Sep;32(8-9):379-83.
The true aneurysms of the infrapopliteal arteries are an unusual pathology with low incidence in the general population. They appear in the literature only as isolated case reports. True aneurysms of the infrapopliteal arteries represent a surgical problem, especially when a bifurcation is involved and when the distal vessels are affected by occlusive disease.
A 67 year old man with an aneurysm which involved the tibioperoneal trunk and the origin of peroneal and posterior tibial arteries was surgical treated. At three months follow up, a duplex ultrasonography (DUS) control showed the bypass patency and the total exclusion of the aneurismal sac.
Although the aneurysms of the infrapopliteal arteries are very uncommon and often asymptomatic, their associated vascular lesions and/or ischemic complications can lead to high risk of limb loss. When the aneurysm is large and/or symptomatic, the surgical treatment becomes mandatory. A conservative treatment and DUS follow up could be reserved to elderly patients and when the aneurysm is small and asymptomatic.
腘动脉以下真性动脉瘤是一种罕见的病理情况，在普通人群中发病率较低。它们在文献中仅作为孤立病例报告出现。腘动脉以下真性动脉瘤是一个外科问题，尤其是当涉及分叉且远端血管受闭塞性疾病影响时。
一名67岁男性患有累及胫腓干以及腓动脉和胫后动脉起始部的动脉瘤，接受了手术治疗。在术后三个月的随访中，双功超声（DUS）检查显示旁路血管通畅且动脉瘤囊完全被排除。
尽管腘动脉以下动脉瘤非常罕见且通常无症状，但其相关的血管病变和/或缺血性并发症可导致肢体丧失的高风险。当动脉瘤较大和/或有症状时，手术治疗成为必要。对于老年患者以及动脉瘤较小且无症状时，可采用保守治疗和DUS随访。
