Popliteal Artery Entrapment Syndrome - A case report -

슬와동맥 포착증후군 - 1예 보고 -

  • Kim, Duk-Sil (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Sung-Wan (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Byung-Ki (Department of Radiology, CHA Gumi Medical Center, CHA University) ;
  • Lee, Hyeon-Jae (Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University) ;
  • Lee, Gun (Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University) ;
  • Lim, Chang-Young (Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University)
  • 김덕실 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 김성완 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 김병기 (차의과학대학교 구미차병원 영상의학교실) ;
  • 이헌재 (차의과학대학교 분당차병원 흉부외과학교실) ;
  • 이건 (차의과학대학교 분당차병원 흉부외과학교실) ;
  • 임창영 (차의과학대학교 분당차병원 흉부외과학교실)
  • Published : 2009.10.05

Abstract

The entrapment of the popliteal artery is a rare cause of ischemia of the lower extremities among young males. The development of local occlusive or aneurysmal changes of the popliteal artery is caused by abnormal anatomic relationships between vascular and musculo-tendinous structures in the popliteal fossa. An 18-year-old male visited our outpatient clinic with the chief complaint of claudication in his right calf. Three dimensional CT angiography showed an occlusion of the popliteal artery and less opacified arteries of the right leg. Intraoperatively, the popliteal artery was compressed by an accessory muscle band arising from the medial head of the gastrocnemius. After release of the muscle band, thrombectomy with endarterectomy was done. Three years after surgery, he is doing well without any problems.

슬와동맥 포착증후군은 젊은 성인 남자에서 생길 수 있는 하지 허혈증의 드문 한가지 원인이다. 슬와동맥이 막히거나 동맥류성 변화를 발생시키는 이 질병의 원인은 슬와의 혈관과 주변 근육 및 인대구조간의 비정상적인 해부학적 관계에 있다. 18세 남자가 우측 종아리의 파행을 주소로 내원하였으며, 수술 전 삼차원 컴퓨터단층촬영 혈관조영술상 우측 슬와동맥이 폐쇄된 소견을 보였다. 수술 소견에서 슬와동맥은 비복근의 내측두에서 나오는 부속 근육 밴드에 의해 눌려있었다. 근육밴드 절제후 혈전 제거술 및 내막 절제술을 시행하였다. 수술 후 3년이 지난 현재 환자는 아무 문제없이 지내고 있다.

Keywords

References

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