Management of giant popliteal artery aneurysm using in situ saphenous vein bypass: A case report

Year 2025, EARLY ONLINE, 1 - 4

Gündüz Yümün , Hakan Haşimoğlu

https://doi.org/10.18621/eurj.1616848

Abstract

Popliteal artery aneurysm is the most common type of peripheral artery aneurysm. These lesions are associated with atherosclerotic disease and other arterial aneurysms. The timing and approach of surgery are critical for limb preservation and reducing the risk of amputation in symptomatic cases. This case report presents our surgical approach, technique, and graft selection for a 75-year-old female patient with swelling and pain in the leg due to a giant popliteal artery aneurysm complicated by thrombosis. We bypassed the superficial femoral artery to the distal popliteal artery below the knee, using the in situ saphenous vein. We excluded the enlarged segment by ligating it at the anastomosis sites. In situ bypass is considered a highly effective method with excellent patency rates that minimizes surgical trauma in the treatment of popliteal aneurysms extending below the knee.

Keywords

Giant aneurysm, popliteal artery aneurysm, in situ bypass

Ethical Statement

This case study was approved by Tekirdağ Dr. İsmail Fehmi Cumalıoğlu City Hospital Clinical Research Ethics Committee (Decision date: 08.03.2024, decision no: 89). Patient was informed about the purpose of the case report, and informed consent was obtained from the patient for this publication.

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