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Anatomical Popliteal Artery Entrapment Syndrome Caused by an Aberrant Plantaris Muscle
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논문 기본 정보

Type
Academic journal
Author
권용재 (울산대학교) 권태원 (울산대학교) 엄은해 (울산대학교) SUNG SHIN (울산대학교) 조용필 (울산대학교) 김종민 (울산대학교) Lee SangHoon (울산대학교) 황승준 (울산대학교)
Journal
The Korean Society of Vascular Surgery Vascular Specialist International Vascular Specialist International Vol.31 No.3 KCI Accredited Journals
Published
2015.1
Pages
95 - 101 (7page)

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Anatomical Popliteal Artery Entrapment Syndrome Caused by an Aberrant Plantaris Muscle
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Purpose: We report on cases of anatomical popliteal artery entrapment syndrome (PAES) caused by an aberrant plantaris muscle and highlight the involvement of this muscle in PAES. Materials and Methods: Seven symptomatic PAES legs in six patients treated at The Division of Vascular Surgery, Asan Medical Center, Seoul, Korea, between 1995 and 2011 were included in this study. We retrospectively analyzed patient records, magnetic resonance imaging (MRI) and/or computed tomography (CT) scans of the knee joint, Doppler pressure studies, CT angiographies, and conventional femoral arteriographies. Results: Five males and one female patient with a median age of 32 (18-53) years old were enrolled in the study. All patients complained of intermittent claudication of the affected leg. All aberrant plantaris muscles were higher and more medially located than normal plantaris muscles, causing occlusion of the popliteal artery upon forced plantar flexion of the ankle. For arterial lesions, five occlusions of the popliteal artery and two patent popliteal arteries with positive provocation were noted. As for treatment, myotomy of the aberrant plantaris muscle was done for two non-occlusive PAES legs. For occlusive PAES legs, one thrombectomy, one saphenous vein graft interposition of the popliteal artery followed by myotomy, and two below-knee femoro-popliteal bypasses were performed. The median follow-up period was 88 (7-148) months. Conclusion: An aberrant plantaris muscle can cause anatomical PAES. Classification or diagnosis of PAES should be based on axial studies using CT scans or MRI using various reconstruction methods. Treatment, including myotomy of the plantaris muscle, should be individualized.

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References (19)

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Turnipseed WD / 2002 / Popliteal entrapment syndrome / J Vasc Surg 35:910~915 google schola Chernoff DM / 1995 / Asymptomatic functional popliteal artery entrapment:demonstration at MR imaging / Radiology 195:176~180 google schola Liu PT / 2005 / Popliteal vascular entrapment syndrome caused by a rare anomalous slip of the lateral head of the gastrocnemius muscle / Skeletal Radiol 34:359~363 google schola Kim HK / 2006 / Popliteal artery entrapment syndrome: morphological classification utilizing MR imaging / Skeletal Radiol 35:648~658 google schola Pillai J / 2008 / Assessment of the medial head of the gastrocnemius muscle in functional compression of the popliteal artery / J Vasc Surg 48:1189~1196 google schola

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