When considering the management of popliteal aneurysms, not only the size but also the nature, symptoms and state of collateral and distal circulation must be taken in to account. We present a patient who required operative management of a symptomatic 3cm popliteal aneurysm of the left leg whilst a conservative approach chosen for the right leg which had an asymptomatic 17 × 13.1 cm popliteal aneurysm, the largest of its kind reported within the English literature.
DiwanA, SarkarR, StanleyJC, ZelenockGB, WakefieldTW.Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms. J Vascular Surg, 2000; 31(5): 863–869.
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DebassoR, ÅstrandH, BjarnegårdN.The popliteal artery, an unusual muscular artery with wall properties similar to the aorta: implications for susceptibility to aneurysm formation?J Vasc Surg, 2004; 39(4): 836–842.