PMC8276642_01
Patient before operation.
jvb-19-e20200017-g01-en.jpg
PMC8276642_01_jvb-19-e20200017-g01-en.jpg
gf0100
Physical examination revealed a pulsatile tumor in the left popliteal region (Figure 1).
Lower limb computed tomography angiography with contrast showing left and right popliteal artery aneurysms. The left aneurysm has ruptured.
jvb-19-e20200017-g02-en.jpg
PMC8276642_01_jvb-19-e20200017-g02-en.jpg
gf0200
The patient underwent computed tomography (CT) with contrast, showing an enlarged left popliteal artery (LPA), with thrombus and contrast leakage delimited by a sac (Figure 2), findings characteristic of a ruptured left PAA measuring 14.4 centimeters at its greatest diameter.
Left popliteal artery aneurysm sac dissected with control of proximal and distal blood flow.
jvb-19-e20200017-g03-en.jpg
PMC8276642_01_jvb-19-e20200017-g03-en.jpg
gf0300
Both were clamped to control proximal and distal arterial flow (Figure 3).
End-to-end anastomosis of the left popliteal artery with interposition of a polytetrafluoroethylene (PTFE) graft.
jvb-19-e20200017-g04-en.jpg
PMC8276642_01_jvb-19-e20200017-g04-en.jpg
gf0400
A ringed polytetrafluoroethylene (PTFE) graft was interposed between the proximal and distal segments of the LPA (Figure 4).
Postoperative coronal image showing patent graft.
jvb-19-e20200017-g05-en.jpg
PMC8276642_01_jvb-19-e20200017-g05-en.jpg
gf0500
This examination showed that the graft, the distal LPA, and its terminal branches, the anterior tibial artery, the posterior tibial artery, and the fibular artery, were all patent (Figure 5).