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Two Cases of Mis-diagnosed Popliteal Artery Entrapment Syndrome
Eur J Vasc Endovasc Surg (2010) 40, 419
EJVES Extra Abstracts* A Case of Spontaneous Superficial Femoral Artery Dissection S. Rajagopalan, A. Geraghty, K. Hallam, J. Brittenden Department of Vascular Surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, United Kingdom We present a case of acute ischaemia of the lower limb due to a spontaneous dissection of the superficial femoral artery successfully revascularised with an emergency surgical bypass. doi:10.1016/j.ejvs.2010.05.008 DOI of original article:10.1016/j.ejvsextra.2010.05.001 Available online 19 June 2010 Spontaneous Regression of a Limb Arterio-Venous Malformation (AVM) in a Patient with Parkes-Weber Syndrome (PWS) T. Barlow, A. Egun Department of Vascular Surgery, Royal Preston Hospital, Sharoe Green Road, Preston PR2, UK Klippel Trenauney Syndrome (KTS) consists of the triad of venous and cutaneous capillary malformations, and tissue hypertrophy. The association with an Arterio-Venous Malformation (AVM) is known as Parkes-Weber Syndrome (PWS). We present a case of spontaneous regression of multiple small AVMs in the lower leg of a 19-year-old female with PWS. To the best of our knowledge this is the first documented case of spontaneous regression of an AVM in PWS in English literature.
Two Cases of Mis-diagnosed Popliteal Artery Entrapment Syndrome C.M. Lamba, C.G. Daviesa, T. Whitbreadb Dept. Vascular surgery, Southampton General Hospital, Southampton, UK b Dept. Vascular surgery, Queen Alexandra Hospital, Portsmouth, UK a
We present two young patients with persistent lower leg pains on exercise. Both had previously been investigated and treated with bilateral, 4-compartment fasciotomies for presumed chronic compartment syndrome with no effect on their symptoms. Vascular imaging in both relaxed and resisted plantar-flexed positions revealed a diagnosis of popliteal artery entrapment syndrome (PAES) and both patients underwent bilateral release of the popliteal arteries to curative effect. These cases highlight the importance of appropriate investigation of young patients with claudicant symptoms, as the diagnosis of PAES is easily missed with conventional vascular imaging and can lead to irreversible arterial damage. doi:10.1016/j.ejvs.2010.05.021 DOI of original article:10.1016/j.ejvsextra.2010.05.003
doi:10.1016/j.ejvs.2010.05.012 DOI of original article:10.1016/j.ejvsextra.2010.05.002 Available online 23 June 2010
*
Full articles available online at www.ejvesextra.com
1078-5884/$36 ª 2010 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. doi:10.1016/j.ejvs.2010.05.008
Available online 3 July 2010
EJVES Extra Abstracts* A Case of Spontaneous Superficial Femoral Artery Dissection S. Rajagopalan, A. Geraghty, K. Hallam, J. Brittenden Department of Vascular Surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, United Kingdom We present a case of acute ischaemia of the lower limb due to a spontaneous dissection of the superficial femoral artery successfully revascularised with an emergency surgical bypass. doi:10.1016/j.ejvs.2010.05.008 DOI of original article:10.1016/j.ejvsextra.2010.05.001 Available online 19 June 2010 Spontaneous Regression of a Limb Arterio-Venous Malformation (AVM) in a Patient with Parkes-Weber Syndrome (PWS) T. Barlow, A. Egun Department of Vascular Surgery, Royal Preston Hospital, Sharoe Green Road, Preston PR2, UK Klippel Trenauney Syndrome (KTS) consists of the triad of venous and cutaneous capillary malformations, and tissue hypertrophy. The association with an Arterio-Venous Malformation (AVM) is known as Parkes-Weber Syndrome (PWS). We present a case of spontaneous regression of multiple small AVMs in the lower leg of a 19-year-old female with PWS. To the best of our knowledge this is the first documented case of spontaneous regression of an AVM in PWS in English literature.
Two Cases of Mis-diagnosed Popliteal Artery Entrapment Syndrome C.M. Lamba, C.G. Daviesa, T. Whitbreadb Dept. Vascular surgery, Southampton General Hospital, Southampton, UK b Dept. Vascular surgery, Queen Alexandra Hospital, Portsmouth, UK a
We present two young patients with persistent lower leg pains on exercise. Both had previously been investigated and treated with bilateral, 4-compartment fasciotomies for presumed chronic compartment syndrome with no effect on their symptoms. Vascular imaging in both relaxed and resisted plantar-flexed positions revealed a diagnosis of popliteal artery entrapment syndrome (PAES) and both patients underwent bilateral release of the popliteal arteries to curative effect. These cases highlight the importance of appropriate investigation of young patients with claudicant symptoms, as the diagnosis of PAES is easily missed with conventional vascular imaging and can lead to irreversible arterial damage. doi:10.1016/j.ejvs.2010.05.021 DOI of original article:10.1016/j.ejvsextra.2010.05.003
doi:10.1016/j.ejvs.2010.05.012 DOI of original article:10.1016/j.ejvsextra.2010.05.002 Available online 23 June 2010
*
Full articles available online at www.ejvesextra.com
1078-5884/$36 ª 2010 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. doi:10.1016/j.ejvs.2010.05.008
Available online 3 July 2010