Pedunculated Thrombus in a Left Popliteal Artery Aneurysm Which Resolved On Anticoagulation Therapy

Author:

Collins Carolyn1ORCID,Fitzgerald Patricia1ORCID,Gowey Anwer2,Elkady Ramy2ORCID,Harrington Cian1,McHugh Seamus2,Aly Sayed2,Moneley Daragh2,Kheirelseid Elrasheid2ORCID,Naughton Peter2

Affiliation:

1. Beaumont Hospital, Dublin, Ireland

2. Royal College of Surgeons in Ireland, Dublin, Ireland

Abstract

Popliteal artery aneurysms (PAAs) account for approximately 70% of all peripheral artery aneurysms. Despite the exact prevalence of PAAs being unknown, it is thought to be present in about 1% of the elderly male population. Acute thrombus in a PAA can increase the risk of lower limb ischemia and amputation. We present a case documenting an incidental finding of an asymptomatic “floating” or pedunculated thrombus within a left PAA on duplex ultrasound. This thrombus resolved following a period of anticoagulation with intravenous Heparin followed by oral administration of apixaban.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging

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