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

• Published in: Journal of vascular surgery cases and innovative techniques Vol. 10; no. 2; p. 101395
• Main Authors: Bertalan, Mia S., Ghaffarian, Amir, Hemingway, Jake, Quiroga, Elina, Tran, Nam, Starnes, Benjamin, Singh, Niten
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-04-2024; Elsevier
• Subjects: Artery entrapment; Case report; Entrapment; Popliteal; Popliteal artery; Popliteal artery entrapment; Popliteal artery entrapment syndrome; Popliteal artery entrapments; Entrapment; Popliteal; Popliteal artery entrapments; Artery entrapment; Popliteal artery entrapment syndrome; Popliteal artery; Popliteal artery entrapment
• ISSN: 2468-4287; 2468-4287
• DOI: 10.1016/j.jvscit.2023.101395

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.