Popliteal Aneurysm

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THE popliteal artery is the second most common site of aneurysm. The treatment of this condition has been reviewed frequently and various methods have been suggested to restore normal anatomy.1–13

A patient was recently seen suffering from bilateral popliteal aneurysm. One side was treated by resection and sympathectomy; the other by venous homograft technic. An unusual opportunity has been provided to compare the results of the two procedures in the same patient.

Case Report

The patient, a 59 year old man, was admitted to the Clinic complaining of recurrent attacks of pain in both lower extremities. A review of the history indicated that for two years prior to admission he had been aware of slight leg fatigue following exercise. At no time did he have intermittent claudication. Eight months prior to admission, he experienced a sudden attack of severe knife-like pain in the left calf which occurred while walking. No unusual coldness, numbness, or color change was noted. The attack of severe pain lasted two days and gradually subsided. Three months following this attack, he had a second severe episode of pain in the left calf, lasting several days. One week before admission to the Clinic, he developed a similar attack of pain in the right calf. Following each attack petechiae were observed over the involved extremity. No pain was noted between attacks but leg fatigue continued to occur following exercise. At no time was there evidence of swelling. Local tenderness to pressure was noted at the time of . . .



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