Affiliation:
1. Department of Vascular Surgery, Derriford Hospital, Plymouth PL6 8DH, UK
Abstract
Abstract
Background
Popliteal artery entrapment syndrome (PAES) is rare and may be underdiagnosed. Improved specialized, non-invasive imaging techniques are producing detailed topographical evidence of the anomaly.
Methods
A historical review of the literature and Medline search was performed with reference to the diagnosis and treatment of the condition. In addition, embryologically based theories for the condition have been postulated.
Results and conclusion
PAES may be the result of abnormal development of the popliteal artery or a consequence of excessive cranial migration of the medial head of the gastrocnemius muscle. Magnetic resonance imaging appears to be the most useful single investigation to demonstrate the anomaly. Popliteal artery release alone or with vein bypass is the treatment of choice when intervention is indicated.
Publisher
Oxford University Press (OUP)
Reference41 articles.
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2. Obstruction of the popliteal artery at an early age;Hamming;J Cardiovasc Surg,1965
3. Entrapment of the popliteal artery;Persky;Surg Gynecol Obstet,1991
4. Popliteal artery entrapment syndrome. Anatomical and embryological bases, diagnostic and therapeutic considerations following a series of 15 cases with a review of the literature;Rosset;Surg Radiol Anat,1995
5. Surgical aspects of popliteal artery entrapment syndrome: 26 years of experience with 26 legs;Zund;Vasa,1995
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