Popliteal artery aneurysm with rupture and pseudoaneurysm formation

• Autor(es):

  Barbato, Heraldo Antônio (Instituto Dante Pazzanese de Cardiologia);

  Cunha, Marcelo Tavares (Instituto Dante Pazzanese de Cardiologia);

  Clauzo, Alexandre Volpini (Instituto Dante Pazzanese de Cardiologia);

  Petisco, Ana Cláudia Gomes (Instituto Dante Pazzanese de Cardiologia);

  Rossi, Fabio Henrique (Instituto Dante Pazzanese de Cardiologia);

  Malheiros, Fernando Dagli (Instituto Dante Pazzanese de Cardiologia);

  Oliveira, Lannes Alberto Vasconcelos (Instituto Dante Pazzanese de Cardiologia);

  Izukawa, Nilo Mitsuru (Instituto Dante Pazzanese de Cardiologia).

• Fonte:

  Jornal Vascular Brasileiro; volume 5, número 2, páginas 148-150. Junho 2006.

• Assuntos:

  Aneurysm;

  aneurysm rupture;

  pseudoaneurysm;

  popliteal artery.

• Resumo:

  The patient presented with a 5-day history of acute pain and swelling in the right lower limb. On physical examination, wide popliteal pulses and satisfactory distal perfusion were observed. The laboratory work-up showed renal failure and the duplex ultrasound examination was suggestive of a ruptured right popliteal artery aneurysm with pseudoaneurysm formation and a left popliteal artery aneurysm. The patient underwent urgent surgery through a posterior popliteal approach. A ruptured aneurysm with pseudoaneurysm formation was found and repaired by endoaneurysmorrhaphy with interposition of a short saphenous vein segment. The postoperative period was unremarkable. Rupture of a popliteal artery aneurysm is a rare complication: a single report of spontaneous popliteal pseudoaneurysm was found in the literature.

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