Brottier L, Charlopain G, Viarmé P E, Durrieu C, Bonnet J, Bricaud H
Clinique Médicale Cardiologique, Hôpital du Haut-Lévêque, Pessac.
Ann Cardiol Angeiol (Paris). 1987 Jul-Sep;36(7):361-4.
In the absence of thromboembolic risk factors, signs of thrombosis in situ, or disorders of coagulation, two possible diagnoses must be envisaged when acute recurring ischemia is observed in a peripheral area of tissue: extrinsic compression or rupture of an arterial coat, especially when the subject is young and in good general health. The case of a 35 year old patient presenting with recurring ischemia in the popliteal artery of the right lower limb due to sub-adventitial rupture of the popliteal artery suggests three comments: the period of latency (3 months) between initial trauma to the popliteal artery and the operation of reverse saphenous vein bypass, the necessity for dynamic manipulations together with angiographic and ultrasound examination, the probable underestimation of the traumatic or functional causes of this disorder (popliteal artery), and the surgical prognosis remains excellent.
在没有血栓栓塞危险因素、原位血栓形成迹象或凝血障碍的情况下，当在组织外周区域观察到急性复发性缺血时，必须考虑两种可能的诊断：动脉壁的外部压迫或破裂，特别是当患者年轻且总体健康状况良好时。一名35岁患者因腘动脉外膜下破裂导致右下肢腘动脉反复缺血的病例提示三点：从腘动脉最初受伤到进行大隐静脉逆向旁路手术之间的潜伏期（3个月）、动态操作以及血管造影和超声检查的必要性、这种疾病（腘动脉）的创伤性或功能性病因可能被低估，而手术预后仍然良好。
