Rich N M, Collins G J, McDonald P T, Kozloff L, Clagett G P, Collins J T
Arch Surg. 1979 Dec;114(12):1377-84. doi: 10.1001/archsurg.1979.01370360031004.
In the past 20 years since the first clinical management of a patient with a congenital anomaly associated with an abnormal medial head of the gastrocnemius muscle causing external compression on the popliteal artery, approximately 100 similar lesions have been documented in the world's literature. This has been a lesion of international interest, with only approximately 25% of the cases from hospitals in the United States. This present series of 14 lesions from Walter Reed Army Medical Center, Washington, DC, during a 12 1/2-year period beginning in September 1966 emphasizes the increasing interest in this lesion. The young athletic male in whom intermittent claudication develops with strenuous exercise or the middle-aged patient with a popliteal aneurysm should be evaluated for the possibility of popliteal vascular entrapment. Medial deviation of the popliteal artery seen angiographically is a classic finding, however, there might also be segmental occlusion of the midpopliteal artery. This series outlines various types of popliteal vascular entrapment and documents successful surgical management.
自首次对一名患有与腓肠肌内侧头异常相关的先天性畸形并导致腘动脉外部受压的患者进行临床治疗以来的20年里，世界文献中已记录了约100例类似病变。这是一个引起国际关注的病变，其中只有约25%的病例来自美国的医院。本系列报告了1966年9月开始的12年半时间里，华盛顿特区沃尔特·里德陆军医疗中心的14例此类病变，强调了对此类病变的兴趣与日俱增。对于剧烈运动时出现间歇性跛行的年轻男性运动员或患有腘动脉瘤的中年患者，应评估是否存在腘血管受压的可能性。血管造影显示腘动脉向内侧移位是一个典型表现，不过，腘动脉中段也可能出现节段性闭塞。本系列概述了各种类型的腘血管受压情况，并记录了成功的手术治疗方法。
