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Popliteal Arterial Aneurysms
Abstract
Fifty-five popliteal aneurysms in 43 patients seen over a 15-year period, are presented. The commonest cause was atherosclerosis, with a male incidence of 98%. Bilateral popliteal aneurysms were found in 29% of this group. and extrapopliteal in 11% of patients. Sixty-seven per cent of the patients had complications when they were first seen, and the commonest complication was acute arterial occlusion caused by thromboembolism. The reasons for the high incidence of thromboembolism are discussed. Rupture was uncommon. Small aneurysms are not immune to complications and in the absence of contra-indicating factors such as short life expectancy, or poor surgical risk, all popliteal aneurysms should be considered for reconstructive vascular procedures.
