ArticleVascular specialist international2026
Ruptured Popliteal Artery Aneurysm Treated with Open Surgical Repair in a 91-Year-Old Woman: A Case Report.
Article in Vascular specialist international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Popliteal artery aneurysms (PAAs) are the most common peripheral arterial aneurysms, although they remain relatively rare. Symptomatic PAAs generally present with limb ischemia due to distal embolization; however, rupture is extremely uncommon, and the optimal management has not yet been established. A 91-year-old woman presented with acute pain in the right leg and swelling of the popliteal fossa and posterior thigh. Computed tomography revealed a 45.1×44.7-mm right PAA. Emergency intervention was indicated, and open surgical repair via a posterior approach using a prosthetic graft was performed. Intraoperatively, a defect in the aneurysmal wall with active bleeding was identified, confirming rupture. The postoperative course was uneventful, and limb viability and graft patency were maintained for 3 years. Prosthetic graft interposition may be a feasible therapeutic option in carefully selected very elderly patients with ruptured PAA, even in the presence of limited distal runoff.
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