Elliott James Edward, Jenkins Jason
Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
J Vasc Surg Cases Innov Tech. 2020 Feb 4;6(1):27-30. doi: 10.1016/j.jvscit.2019.12.001. eCollection 2020 Mar.
Popliteal artery aneurysms (PAAs) are the most common of all peripheral aneurysms. However, ruptured PAA is rare, accounting for approximately 2% of PAA presentations. A literature review found only 11 published cases of ruptured PAAs treated with endovascular repair. In this case, a large (6.9 cm in diameter) ruptured PAA was successfully treated with endovascular repair using the GORE VIABAHN (W. L. Gore & Associates, Flagstaff, Ariz) stent graft and had simultaneous evacuation of popliteal fossa hematoma through a medial distal thigh incision. This facilitated more rapid recovery of mobility, reduced pain, and reduced hospital stay and may represent a useful hybrid surgical approach for this rare condition.
腘动脉瘤（PAA）是所有周围动脉瘤中最常见的。然而，破裂的PAA很少见，约占PAA病例的2%。一项文献综述发现，仅有11例已发表的破裂PAA接受血管内修复治疗的病例。在此病例中，一个大的（直径6.9厘米）破裂PAA通过使用GORE VIABAHN（W.L.戈尔联合公司，亚利桑那州弗拉格斯塔夫）覆膜支架成功进行了血管内修复，并通过大腿远端内侧切口同时清除了腘窝血肿。这有助于更快恢复活动能力、减轻疼痛、缩短住院时间，可能代表了针对这种罕见病症的一种有用的杂交手术方法。
