Popliteal artery aneurysm in pediatric population: a review
DOI:
https://doi.org/10.18203/2349-2902.isj20242146Keywords:
Popliteal artery, Aneurysm, True aneurysm, Management, Children, PediatricAbstract
Popliteal artery aneurysm is a dilation greater than 1.5 cm in the diameter of the popliteal artery. It is a rare condition in children, which is frequently associated with connective tissue disorders or traumatic events. Clinically, it can present as a pulsating mass in the popliteal region, accompanied by pain and thrills in symptomatic cases. Diagnosis is made using Doppler ultrasound, although advanced techniques such as angiography can be used for more detailed evaluation. Management varies depending on the size and symptoms, with open surgery being the preferred treatment for aneurysms larger than 2 cm, with endovascular options reserved for specific circumstances; however, they are not recommended in young patients due to the high risk of stent rupture. Complications include thrombosis, infection, and limb loss in cases of aneurysm rupture without any corrective management.
References
Acosta Arias Y, Álvarez Duarte HT, Janeiro Moliner K, Hernandez Gil R. Left popliteal aneurysm. Rev Cubana Angiol Cir Vasc. 2022;23(2):e156.
Maeno R, Isaji T, Takayama T, Hoshina K. Popliteal artery aneurysm in a 14-year-old boy with tuberous sclerosis complex. J Vasc Surg Cases Innov Tech. 2022;9(1):100961.
Nasir M, Sadiq I, Abdul Fatir C, Mehmood Qadri H. Spontaneous Isolated Thrombosed True Popliteal Aneurysm in an Eight-Year-Old Child: A Rare Case Report with Literature Review. Cureus. 2022;14(8):e28248.
Sarkar R, Coran AG, Cine Y RE, Lindenauer SM, Stanley JC. Aneurysms arterial in children: clinicopathologic classification. JVS. 1991;13:47-57.
Olguin R, Marin J, Seymour C, Werner K, Covarrubias G, Villablanca M, et al. Aneurysm of the popliteal artery in a boy. Rev Chil Cir. 2016;68(2):170-2.
Tolstano A, Lozano-H E, Cohen-R S, Lora-Thomas G, Acevedo-Reyes H, Aguilera L, et al. Right idiopathic popliteal aneurysm in a 5-year-old-boy: case report. Rev Med Hosp Gen Mex. 2021;84(2):75-9.
Cervin A, Ravn H, Björck M. Ruptured popliteal artery aneurysm. Br J Surg. 2018;105(13):1753-8.
Chama-Naranjo A, Becerra-Bello J, Valdez Sanchez RA, Huerta-Huerta H. Diagnosis and treatment of Deep venous thrombosis. Rev Mex Angiol. 2021;49(1):24-3.
Escobar Viera A, Artaza Sanz H, Alonso Martínez A, Artaza Gómez E, Franceda Pérez A. Pseudoaneurisma de la arteria femoral derecha posterior a cateterismo cardíaco. Rev Cubana Angiol Cir Vasc. 2021;22(3):e307.
Arredondo Montero J, Roman Maleon M, Martin-Calvo N, Antona G, Bronte Anaur M, Lopez-Gutierrez JC. Pediatric post-traumatic pseudoaneurysm: Our experience. Ana Pediatr. 2022;97:208-17.
García Pelegrí SG, Collazo Silot Enrique SE. Pseudoaneurisma postraumático de arteria femoral en una niña de dos años. Rev Cubana Angiol Cir Vasc. 2019;20(2):e391.
Alexander MC, Giovanni G, Andrés UJ, Fernando TR, Mejía A. Aneurisma de la arteria ciática persistente con isquemia secundaria de la extremidad, revisión de la literatura y reporte de un caso. Rev Colomb Cir. 2017;32(1):61-7.
Roger Jimenes J, Luis Morelli G, Enrique M, Miguel MB, Guillermo Guevara O, Javier Cabezas L, et al. Arteria ciatica persistente (Reporte de un caso, manejo y revision bibliografica). Rev Med Costa Rica Centroamerica LXVIII. 2011;598:311-2.
Snajurjo MS, Codurri OR, Correa M, Panario G. Persistent sciatic artery. Rev Argent Cardioangiol Intervencionista. 2019;10(3):120-2.
Bearse JR. Duplex ultrasound findings of popliteal artery aneurysm with acute limb ischemia. J Diagnostic Med Sonography. 2014;30(6):314-9.
Papaioannou S, Tsitouridis K, Giataganas G, Rodokalakis G, Kyriakou V, Papastergiou CH, et al. Evaluation of popliteal arteries with CT angiography in popliteal artery entrapment syndrome. Hippokratia. 2009;13(1):32-7.
Beseth BD, Moore WS. The posterior approach for repair of popliteal artery aneurysms. J Vascular Surg. 2006;43(5):940-5.
Farber A, Angle N, Averignos E, Dubois L, Eslami M, Geraghty P. The society for vascular surgery clinical practice guidelines on popliteal artery aneurysm. J Vascular Surg. 2022;75(1):109-20.
Kim TI, Sumpio BE. Management of Asymptomatic Popliteal Artery Aneurysms. Int J Angiol. 2019;28(1):5-10.
