A Case of Open Surgery for Ruptured Right Popliteal Artery Aneurysm

Abstract

A 74-year-old man presented with right leg pain, motor paralysis, and hypoesthesia. The patient was hypotensive and had atrial fibrillation. Contrast-enhanced CT revealed a 56-mm ruptured right popliteal artery aneurysm. Upon clinical examination, the right leg exhibited a tense compartment with severe tenderness. Therefore, fasciotomy of the right lower limb was performed before surgery. Using a posterior approach, we resected the aneurysm and performed graft interposition using the great saphenous vein. Postoperative ultrasonography confirmed graft patency. Two years later, the patient showed no symptoms of limb ischemia with a patent bypass.