Popliteal Artery Aneurysm

A popliteal artery aneurysm is a rare but potentially life-threatening condition that occurs when the popliteal artery, which runs behind the knee, becomes weakened and balloons out, forming an aneurysm. The popliteal artery is responsible for supplying blood to the lower leg and foot.

Causes and Risk Factors

The exact cause of a popliteal artery aneurysm is often unknown, but several factors can increase the risk of developing this condition, including:

• Atherosclerosis (hardening of the arteries)
• Trauma to the knee or leg
• Genetic conditions, such as Ehlers-Danlos syndrome or Marfan syndrome
• Infection or inflammation of the artery
• Smoking and high blood pressure

Symptoms

Many people with a popliteal artery aneurysm do not experience any symptoms until the aneurysm ruptures or causes other complications. Possible symptoms include:

• Pain or swelling in the leg or knee
• Numbness or tingling in the foot or toes
• Weakness or fatigue in the leg
• Coldness or paleness of the skin on the affected leg
• Pulsatile mass behind the knee

Diagnosis

A popliteal artery aneurysm is typically diagnosed using imaging tests, such as:

• Duplex ultrasound: a non-invasive test that uses sound waves to create images of the blood vessels
• Computed tomography (CT) angiogram: a test that uses X-rays and contrast dye to create detailed images of the blood vessels
• Magnetic resonance imaging (MRI) angiogram: a test that uses magnetic fields and contrast dye to create detailed images of the blood vessels
• Angiography: a test that uses X-rays and contrast dye to create detailed images of the blood vessels

Treatment

Treatment for a popliteal artery aneurysm depends on the size and location of the aneurysm, as well as the patient's overall health. Possible treatment options include:

• Watchful waiting: monitoring the aneurysm with regular imaging tests to see if it grows or causes any symptoms
• Surgical repair: repairing the aneurysm with a graft or replacing the affected section of the artery
• Endovascular repair: using a minimally invasive procedure to place a stent-graft in the aneurysm to prevent further growth or rupture
• Thrombectomy: removing a blood clot that has formed in the aneurysm

Complications

If left untreated, a popliteal artery aneurysm can lead to serious complications, including:

• Rupture of the aneurysm, which can cause severe bleeding and potentially life-threatening consequences
• Thrombosis (blood clot formation) in the aneurysm, which can block blood flow to the leg and foot
• Emboli (blood clots that break loose and travel to other parts of the body), which can cause stroke or other complications
• Gangrene (tissue death due to lack of blood supply) in the affected leg or foot

Prevention

While it is not possible to prevent all cases of popliteal artery aneurysm, maintaining a healthy lifestyle and managing risk factors can help reduce the likelihood of developing this condition. This includes:

• Not smoking
• Maintaining a healthy weight
• Exercising regularly
• Eating a balanced diet
• Managing high blood pressure and cholesterol levels