Surgical release of anterior tibial artery entrapment with associated popliteal artery entrapment

Mia S Bertalan; Amir Ghaffarian; Jake Hemingway; Elina Quiroga; Nam Tran; Benjamin Starnes; Niten Singh

doi:10.1016/j.jvscit.2023.101395

Surgical release of anterior tibial artery entrapment with associated popliteal artery entrapment

J Vasc Surg Cases Innov Tech. 2023 Dec 19;10(2):101395. doi: 10.1016/j.jvscit.2023.101395. eCollection 2024 Apr.

Authors

Mia S Bertalan¹, Amir Ghaffarian¹, Jake Hemingway¹, Elina Quiroga¹, Nam Tran¹, Benjamin Starnes¹, Niten Singh¹

Affiliation

¹ Division of Vascular Surgery, Department of General Surgery, University of Washington, Harborview Medical Center, Seattle, WA.

Abstract

Popliteal artery entrapment syndrome (PAES) is compression of the popliteal artery from embryologic myotendinous variation or calf muscle hypertrophy. PAES necessitates prompt diagnosis and complete release of the entrapped vasculature for symptom relief and to prevent chronic cumulative vascular damage. Our patient is a 27-year-old female referred for progressive bilateral claudication. Workup was consistent with bilateral PAES with preoperative imaging notable for an atypically proximal origin of the anterior tibial artery, which was also encased anterior to the popliteus muscle. Preoperative angiogram confirmed the diagnosis, and complete surgical release resolved symptoms by 4 months postoperatively.

Keywords: Artery entrapment; Entrapment; Popliteal; Popliteal artery; Popliteal artery entrapment; Popliteal artery entrapment syndrome; Popliteal artery entrapments.

Publication types

Case Reports