Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent
Joint Authors
Brodmann, Marianne
Labmayr, Viktor
Aliabadi, Aryan
Tiesenhausen, Kurt
Schmid, Florian
Moore, Dana
Source
Case Reports in Vascular Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Popliteal artery entrapment syndrome (PAES) is caused by compression of the popliteal artery (PA) due to deranged myotendinous structures.
It can be asymptomatic or may present with exercise intolerance, claudication, or even limb-threatening ischemia.
The clinical picture depends on the anatomy and degree of vascular compromise.
Case Description.
We report a case of a 17-year-old Caucasian male with PAES Type II presenting with intermittent claudication and progression towards acute limb ischemia.
Diagnostics.
MRI and MRA helped identifying the aberrant anatomy and thrombotic occlusion.
Doppler ultrasound and conventional angiography have also been employed in a stepwise approach.
Intervention.
The thrombus at the site of occlusion was removed by the use of catheter-directed lysis.
Subsequently, popliteal artery release was achieved by myotomy of the aberrant medial head of gastrocnemius muscle (MHGM) and muscle transfer to the medial femoral condyle.
A three-month regimen of 60mg edoxaban was recommended after surgery.
Outcome.
Surgical correction of the anomalous anatomy and postoperative anticoagulation led to freedom of symptoms.
Lesson.
Clinical presentation of PAES mimicking peripheral artery occlusive disease is very rare but potentially limb-threatening.
PAES should be considered in young and otherwise healthy individuals.
American Psychological Association (APA)
Labmayr, Viktor& Aliabadi, Aryan& Tiesenhausen, Kurt& Brodmann, Marianne& Schmid, Florian& Moore, Dana. 2019. Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent. Case Reports in Vascular Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1145579
Modern Language Association (MLA)
Labmayr, Viktor…[et al.]. Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent. Case Reports in Vascular Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1145579
American Medical Association (AMA)
Labmayr, Viktor& Aliabadi, Aryan& Tiesenhausen, Kurt& Brodmann, Marianne& Schmid, Florian& Moore, Dana. Popliteal Artery Entrapment Syndrome (PAES) in a 17-Year-Old Adolescent. Case Reports in Vascular Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1145579
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145579