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Should asymptomatic small popliteal artery aneurysms be operated on ?
Holemans Ch. , Van Damme H. , Defraigne J-O.
Rev Med Liege 2012, 67(11),576-581Abstract : The authors recently observed two patients who suffered acute lower limb ischemia secondary to thrombosis of a small (diameter of less than 2 cm) popliteal artery aneurysm. A literature search lead to the conclusion that small popliteal aneurysms , covered with mural thrombus and presenting a distorted neck due to elongation , are prone to thrombosis. Another risk factor is a restrained outflow bed as a result of previous micro-embolisations into the tibial arteries. The authors conclude that small popliteal artery aneurysms are not so innocent as is often presumed.
