Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/jvb.2014.032
Jornal Vascular Brasileiro
Case Report

Idiopathic popliteal artery pseudoaneurysm: emergency diagnosis and treatment

Pseudoaneurisma idiopático da artéria poplítea: abordagem diagnóstico-terapêutica na urgência

Germano da Paz Oliveira; Ana Terezinha Guillaumon; Iran Batista de Brito; Joana Mayra Teixeira Lima; Sérgio Clementino Benvindo; Lina Gomes dos Santos

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Abstract

Pseudoaneurysms or false aneurysms of the popliteal artery are uncommon arterial disorders. These disorders most commonly result from trauma and iatrogenic lesions following orthopedic procedures. The authors report a rare case of popliteal artery pseudoaneurysm in which etiology was unknown. The authors also demonstrate that Doppler ultrasonography may be sufficient for planning vascular surgical procedures and that the open surgical approach is the treatment of choice for cases in which the symptomatic lesion causes local compression.

Keywords

aneurysm, false, popliteal artery, ultrasonography, Doppler, vascular surgical procedures

Resumo

Pseudoaneurismas ou aneurismas falsos de artéria poplítea são doenças arteriais incomuns. Eles resultam, mais frequentemente, de traumatismos e lesões iatrogênicas após procedimentos ortopédicos. Os autores relatam um raro caso de pseudoaneurisma de artéria poplítea para o qual não foi encontrada etiologia. Demonstram ainda que a ultrassonografia com Doppler pode ser suficiente para o planejamento de procedimentos cirúrgicos vasculares, sendo a abordagem aberta a escolha para casos em que se tenha uma lesão com sintomas compressivos locais.

Palavras-chave

aneurisma falso, artéria poplítea, ultrassonografia, Doppler, procedimentos cirúrgicos vasculares

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