Thrombosis of popliteal artery aneurysm with cutaneous microembolism of toes

Popliteal artery aneurysms (PAAs) are rare, and usually affect men over 60 years of age with established cardiovascular disease due to atherosclerosis. They can also be congenital or can occur due to trauma, mycotic aneurysm, popliteal entrapment or inflammatory arteritis. This is a case of a 95 year old male, with history of recent subdural hematoma, who presented with acute onset right lower limb pain and edema. He was found to have right PAA with thrombosis which was throwing cutaneous microemboli to the toes. He underwent open aneurysm repair with Dacron graft and thrombectomy and improved.

[1]  J. Dattilo,et al.  Thrombosed Popliteal Aneurysm , 2019 .

[2]  U. Wollina,et al.  Cutaneous Microembolism of Fingers and Toes , 2018, Open access Macedonian journal of medical sciences.

[3]  S. Diamond.  Systems Analysis of Thrombus Formation. , 2016, Circulation research.

[4]  Ihor Huk,et al.  The Abdominal Aortic Aneurysm and Intraluminal Thrombus: Current Concepts of Development and Treatment , 2015, Front. Cardiovasc. Med..

[5]  P. Castelli,et al.  A multicentric experience with open surgical repair and endovascular exclusion of popliteal artery aneurysms. , 2013, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[6]  Viktor Y. Dombrovskiy,et al.  Endovascular Versus Open Repair of Popliteal Artery Aneurysms , 2013, Vascular and endovascular surgery.

[7]  A. Dayama,et al.  Open and endovascular repair of popliteal artery aneurysms: tabular review of the literature. , 2013, Annals of vascular surgery.

[8]  M. Schermerhorn,et al.  Trends in the national outcomes and costs for claudication and limb threatening ischemia: angioplasty vs bypass graft. , 2011, Journal of vascular surgery.

[9]  A. Kuehnl,et al.  Eligibility for endovascular technique and results of the surgical approach to popliteal artery aneurysms at a single center. , 2010, Annals of vascular surgery.

[10]  A. Ippoliti,et al.  Popliteal artery aneurysms. Factors associated with thromboembolism and graft failure. , 2004, International angiology : a journal of the International Union of Angiology.

[11]  T. Jacob,et al.  Examination of the apoptotic pathway and proteolysis in the pathogenesis of popliteal artery aneurysms. , 2001, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[12]  J. Curci,et al.  Vascular smooth muscle cell apoptosis in abdominal aortic aneurysms , 1997, Coronary artery disease.

[13]  R. .. B. S. I. E. J. .. H. D A W S O N,et al.  Atherosclerotic popliteal aneurysm , 1997, The British journal of surgery.

[14]  S. Lowry,et al.  Infectious complications after elective vascular surgical procedures. , 2010, Journal of vascular surgery.

[15]  F. Logerfo,et al.  Popliteal artery aneurysms: a comparison of outcomes in elective versus emergent repair. , 2004, Journal of vascular surgery.