2018 Volume 27 Issue 1 Pages 1-6
Objective and Methods: The popliteal artery diseases except for the arteriosclerosis obliterans (ASO) are relatively rare, and they require multifaceted surgical strategies depending on an each cases. In this article, we reported 8 surgical cases of the popliteal artery lesions except the ASO in 7 patients. Results: The mean age of the patients was 64 years, 4 were male and 3 were female. Popliteal artery aneurysms were diagnosed in 4 legs in 3 patients. They all underwent bypass surgery used prothetic grafts. Two of three, medial skin incision around the knee joint was employed in 2 cases, and 1 case was operated through the posterior approach with S-shaped incision. Popliteal artery pseudoaneurysms associated with osteochondromas were diagnosed in 2 patients. We removed the osteochondroma through the lumen of the pseudoaneurysm and performed popliteal arterioplasty in both cases. 1 case was performed via medial incision and the other was a posterior approach. Popliteal artery pseudoaneurysm rupture after the total knee arthoplasty was diagnosed in 1 patient. A medial incision was performed below the knee and underwent bypass surgery used prothetic grafts. Adventitial cystic disease of the popliteal artery was diagnosed in 1 patient. With a posterior approach, the cyst removal and the bypass surgery using saphenous vein graft was performed. There were no cases required for amputation or resulted in limb necrosis, and all patients had uneventful postoperative course with good arterial perfusion. Conclusion: Considering for the popliteal artery lesions with various anatomical conditions, multifaceted surgical strategies with the approach method or a graft choice should be mandatory in patients with the popliteal artery diseases except for the ASO.