Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.180142
Jornal Vascular Brasileiro
Therapeutic Challenge

Tratamento de aneurisma de artéria poplítea bilateral

Treatment of bilateral popliteal artery aneurysms

José Aderval Aragão; Fabio Guilherme Gonçalves de Miranda; Iapunira Catarina Sant’Anna Aragão; Felipe Matheus Sant’Anna Aragão; Francisco Prado Reis

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Resumo

Resumo: O aneurisma de artéria poplítea (AAP) é o mais frequente dos aneurismas periféricos, correspondendo a 85% do total de aneurismas. Normalmente, são assintomáticos, e o diagnóstico, em geral, é feito por meio do exame físico, tendo uma maior incidência no sexo masculino e em idosos. São bilaterais em 50% dos casos e, em 60% das vezes, estão associados a aneurisma de aorta abdominal. Apresentamos um paciente do sexo masculino com 72 anos de idade, com duas massas pulsáteis em ambas as regiões poplíteas, assintomático, com história de hipertensão arterial e dislipidemia. Os exames clínico e de imagem ultrassonográfica confirmaram o diagnóstico de aneurisma bilateral de artéria poplítea. Os AAP podem ser operados por meio de derivações por cirurgia aberta, com ou sem resseção do aneurisma ou por meio de cirurgia endovascular. Esse desafio discute estas possibilidades.

Palavras-chave

aneurisma, artéria poplítea, doença arterial periférica, doenças vasculares periféricas, doença crônica, hipertensão arterial sistêmica, procedimentos cirúrgicos vasculares

Abstract

Abstract: Popliteal artery aneurysms are the most frequent type of peripheral aneurysm, accounting for 85% of the all of these aneurysms. Usually asymptomatic, they are generally diagnosed during clinical examination. Incidence is higher among males and seniors. They are bilateral in 50% of the cases and 60% are associated with abdominal aortic aneurysms. This paper describes a 72-year-old male patient who presented with two bilateral pulsatile masses, one in each popliteal region, was otherwise asymptomatic, and had a history of hypertension and dyslipidemia. Clinical examination and ultrasound imaging confirmed a diagnosis of bilateral aneurysms of the popliteal arteries. Popliteal artery aneurysms can be treated with open bypass surgery, with or without aneurysm resection, or with endovascular surgery. This Therapeutic Challenge discusses these possibilities.
 

Keywords

aneurysm, popliteal artery, peripheral arterial disease, peripheral vascular diseases, chronic disease, hypertension, vascular surgical procedures

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