Fong H, Downs A R
Department of Surgery, University of Manitoba, Winnipeg, Canada.
J Cardiovasc Surg (Torino). 1989 Jan-Feb;30(1):85-8.
The popliteal vascular entrapment syndrome has been recognized as a cause of arterial occlusion in young males for several decades. The ischemia is usually caused by thrombosis of the popliteal artery due to intimal trauma or aneurysm formation. Distal embolization to the tibial arteries and to the foot arch and digital vessels is common but is not emphasized in the literature. This distal embolization may precipitate severe ischemia which may preclude reconstruction or compromise the results of repair of the popliteal lesion. Early repair of the muscle anomaly is advocated even in the asymptomatic limb. Two patients with bilateral popliteal artery entrapment causing unilateral popliteal occlusion with distal embolization are reported.
几十年来，腘血管压迫综合征一直被认为是年轻男性动脉闭塞的一个原因。缺血通常是由于内膜创伤或动脉瘤形成导致腘动脉血栓形成所致。胫动脉、足弓和指血管的远端栓塞很常见，但在文献中未得到强调。这种远端栓塞可能会引发严重缺血，从而可能妨碍重建或影响腘部病变的修复结果。即使在无症状的肢体中，也主张早期修复肌肉异常。本文报告了两例双侧腘动脉受压导致单侧腘动脉闭塞并伴有远端栓塞的患者。
