Late Peroneal Neuropathy after Open Surgical Treatment of Popliteal Artery Aneurysm.
Fiche publication
Date publication
février 2018
Journal
Annals of vascular surgery
Auteurs
Membres identifiés du Cancéropôle Est :
Pr GENY Bernard
Tous les auteurs :
Lejay A, Kuntz S, Rouby AF, Georg Y, Thaveau F, Geny B, Chakfé N
Lien Pubmed
Résumé
We report the case of a 71-year-old man complaining of swollen left limb and progressively worsening pain. He underwent surgery 12 years ago for popliteal artery aneurysm with proximal and distal ligation and venous bypass grafting. The patient was diagnosed as having left peroneal neuropathy caused by a 10.5 cm expanded aneurysmal sac compressing the peroneal nerve in the popliteal fossa. The patient underwent open repair with opening of the aneurysmal sac, removal of the thrombus, and sewing of the left genicular artery responsible for back-bleeding. Postoperative range of motion exercises and physical therapy allowed resolving foot drop 1 year after surgery.
Mots clés
Aged, Aneurysm, diagnostic imaging, Computed Tomography Angiography, Exercise Therapy, Humans, Ligation, Male, Nerve Compression Syndromes, diagnosis, Peroneal Neuropathies, diagnosis, Popliteal Artery, diagnostic imaging, Reoperation, Time Factors, Treatment Outcome, Vascular Grafting, adverse effects
Référence
Ann Vasc Surg. 2018 Feb;47:283.e1-283.e4