Bertalan Mia S, Ghaffarian Amir, Hemingway Jake, Quiroga Elina, Tran Nam, Starnes Benjamin, Singh Niten
Division of Vascular Surgery, Department of General Surgery, University of Washington, Harborview Medical Center, Seattle, WA.
J Vasc Surg Cases Innov Tech. 2023 Dec 19;10(2):101395. doi: 10.1016/j.jvscit.2023.101395. eCollection 2024 Apr.
Popliteal artery entrapment syndrome (PAES) is compression of the popliteal artery from embryologic myotendinous variation or calf muscle hypertrophy. PAES necessitates prompt diagnosis and complete release of the entrapped vasculature for symptom relief and to prevent chronic cumulative vascular damage. Our patient is a 27-year-old female referred for progressive bilateral claudication. Workup was consistent with bilateral PAES with preoperative imaging notable for an atypically proximal origin of the anterior tibial artery, which was also encased anterior to the popliteus muscle. Preoperative angiogram confirmed the diagnosis, and complete surgical release resolved symptoms by 4 months postoperatively.
腘动脉压迫综合征（PAES）是指因胚胎期肌肌腱变异或小腿肌肉肥大导致腘动脉受压。PAES需要及时诊断并完全松解受压的血管系统，以缓解症状并防止慢性累积性血管损伤。我们的患者是一名27岁女性，因进行性双侧间歇性跛行前来就诊。检查结果符合双侧PAES，术前影像学检查显示胫前动脉起源异常靠近近端，且在腘肌前方被包裹。术前血管造影确诊了该疾病，术后4个月完全手术松解使症状得到缓解。
