Tevfik GÜNEŞ, Serkan GİRGİN, Bilgin EMRECAN, İhsan ALUR

The Case of a Patient with Concomitant Popliteal Artery and Ascending Aortic Aneurysm Who Presented with the Blue Toe Syndrome

Popliteal arter anevrizmaları (PAA) nadir görülen patolojilerdir, fakat periferik arter anevrizmaları arasında en sık karşılaşılanıdır. Bu yazıda blue toe sendromu ile başvuran bilateral popliteal arter ve asendan aort anevrizması saptanan hastanın aşamalı tedavisi sunulmaktadır. 72 yaşında bayan hasta sol bacakta ağrı ve parmak uçlarında morarma yakınması ile acil servise başvurdu. Yapılan bilgisayarlı tomografik anjiyografisinde bilateral popliteal arter ve asendan aort anevrizması saptandı. Hastanın sol bacağı iskemik olduğundan öncelikli olarak sol popliteal artere anevrizmektomi ve femoropopliteal baypas uygulandı. 2 ay sonra kapak ve asendan aort replasmanı yapıldı ve 16 ay sonra sağ popliteal anevrizmektomi ve femoropopliteal baypas uygulandı. Sonuç olarak popliteal arter anevrizmalarına diğer arteriyel anevrizmalar eşlik ettiğinden saptandığında tarama yapılması çok önemlidir.

Blue Toe Sendromu ile Başvuran Popliteal Arter ve Asendan Aort Anevrizmalı Hasta

Popliteal artery aneurysms (PAAs) are rare though these aneurysms are the most frequently encountered peripheral arterial aneurysms. In this article, we present the treatment of a patient who simultaneously had bilateral popliteal artery and ascending aortic aneurysm but was admitted to the emergency room due to the blue toe syndrome. A 72-old-year female was admitted to the hospital with left lower extremity pain and cyanosis in her toe. Bilateral popliteal artery and ascending aortic aneurysm were observed on computed tomography. Aneurysmectomy and femoropopliteal bypass was performed primarily to the left popliteal artery owing to ischemia. Two months later, we performed valve and ascending aorta replacement followed by right popliteal aneurysmectomy and femoropopliteal bypass 16 months later. In conclusion, since other arterial aneurysms can be simultaneously observed with popliteal artery aneurysm, it is very important to scan whole main arterial system when PAA is evaluated.

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