Gemayel Gino, Murith Nicolas, Mugnai Damiano, Khabiri Ebrahim, Kalangos Afksendiyos
Division of Cardiovascular Surgery, University Hospital of Geneva, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Vascular. 2012 Dec;20(6):314-7. doi: 10.1258/vasc.2011.cr0307. Epub 2012 Aug 7.
Popliteal artery entrapment syndrome accounts for an important part of correctible causes of claudication and limb ischemia in young people. It is caused by an abnormal relation between the popliteal artery (PA) and the medial head of the gastrocnemius muscle. The diagnosis should be considered in any patient under 50 with calf claudication. The mainstay of treatment is prevention of PA fibrosis because if left untreated, the syndrome leads to irreversible damage to the PA with thrombosis and limb ischemia. We describe two cases of different types in 21- and 27-year-old males, respectively, and we review the literature about the presentation, diagnosis, classification and management of this entity.
腘动脉压迫综合征是年轻人间歇性跛行和肢体缺血可纠正病因的重要组成部分。它是由腘动脉（PA）与腓肠肌内侧头之间的异常关系引起的。对于任何50岁以下出现小腿间歇性跛行的患者都应考虑该诊断。治疗的关键是预防PA纤维化，因为如果不进行治疗，该综合征会导致PA发生不可逆损伤，进而出现血栓形成和肢体缺血。我们分别描述了两例不同类型的病例，患者为21岁和27岁男性，并回顾了有关该疾病的表现、诊断、分类和治疗的文献。
