Giant traumatic popliteal artery (PA) pseudoaneurysms (PSA) are rare but limb threatening if untreated. Management can be challenging, as no standardized approach exists. This report evaluates our experience with 3 cases treated differently. Treatment is individualized based on patient disease and comorbidities. Endovascular and local patch arterial repair are safe alternatives to graft bypass when feasible.
CheungAGohSKTangAKengTB. Complications of total knee arthroplasty. Curr Orthop. 2008;22(4):274–283. doi:10.1016/j.cuor.2008.07.003.
2.
ChanYCTingACQingKXChengSW. Delayed presentation of popliteal pseudo-aneurysm following soccer football injury. Ann Vasc Surg. 2010;24(4):553.e13–e16. doi:10.1016/j.avsg.2009.09.017.
3.
FilhoESIsolaniGRBarachoFRde Oliveira FrancoAPGRidder BauerLANambaM. Pseudoaneurysm after arthroscopic procedure in the knee. Rev Bras Ortop. 2015;50(2):131–135. doi:10.1016/j.rboe.2015.03.001.
4.
GePSIshaqueBMBonillaJDe VirgilioC. Popliteal artery pseudoaneurysm after isolated hyperextension of the knee. Ann Vasc Surg. 2010;24(7):950.e7–e950.e11. doi:10.1016/j.avsg.2010.01.014.
5.
WoolgarJDReddyDSRobbsJV. Delayed presentation of traumatic popliteal artery pseudoaneurysms: a review of seven cases. Eur J Vasc Endovasc Surg. 2002;23(3):255–259. doi:10.1053/ejvs.2001.1582.
6.
PapacharalampousGGalyfosGGeropapasGGiannakakisSMaltezosC. False arterial aneurysm due to long bone exostosis: presentation of two cases and update on proper management. Ann Vasc Surg. 2015;29(4):842.e19–e842.e22. doi:10.1016/j.avsg.2014.12.031.
7.
PavićPVerglesDSarlijaMAjdukMĆupurdijaK. Pseudoaneurysm of the popliteal artery in a patient with multiple hereditary exostoses. Ann Vasc Surg. 2011;25(2):353–356. doi:10.1016/j.avsg.2010.07.027.
8.
RaherinantenainaFRajaonanaharyTMRakoto RatsimbaHN. Management of popliteal artery pseudoaneurysms as a result of limb trauma and orthopedic surgery or associated with osteochondromas. Ann Cardiol Angeiol (Paris). 2016;65(4):265–274. doi:10.1016/j.ancard.2016.04.023.
9.
PetersenJCOrtizIHMallonDCInsuaJJCasasJR. Surgical management of an infected popliteal artery aneurysm. Vasc Specialist Int. 2014;30(3):94–97. doi:10.5758/vsi.2014.30.3.94.
10.
MahmoodASalamanRSintlerMSmithSRGSimmsMHVohraRK. Surgery of popliteal artery aneurysms: a 12-year experience. J Vasc Surg. 2003;37(3):586–593. doi:10.1067/mva.2003.141.
11.
PapadopoulosDVKoulouvarisPLykissasMGGiannoulisDGeorgiosAMavrodontidisA. Popliteal artery damage during total knee arthroplasty. Arthroplast Today. 2015;1(3):53–57. doi:10.1016/j.artd.2015.06.001.
12.
NasrBAlbertBDavidCHMarques Da FonsecaPBadraAGounyP. Exostoses and vascular complications in the lower limbs: two case reports and review of the literature. Ann Vasc Surg. 2015;29(6):1315.e7–e1315.e14. doi:10.1016/j.avsg.2015.02.020.
13.
RachakondaAQatoKKhaddashTCarroccioAPamoukianVGiangolaG. Ultrasound-guided thrombin injection of genicular artery pseudoaneurysm. Ann Vasc Surg. 2015;29(5):1017.e11–e1017.e13. doi:10.1016/j.avsg.2014.12.037.
14.
AntonelloMFrigattiPBattocchioP. Open repair versus endovascular treatment for asymptomatic popliteal artery aneurysm: results of a prospective randomized study. J Vasc Surg. 2005;42(2):185–193. doi:10.1016/j.jvs.2005.04.049.