Successful surgical treatment of patientwith rupture of popliteal artery aneurysm
Aneurysm of the popliteal artery is considered to be a local expansion of more than 2 cm in diameter, or a local increase in the diameter of the artery more than 150% of the normal caliber of the artery. According to the frequency of occurrence, they make up from 70 to 80% of all peripheral arterial aneurysms, however, detection in the population is small - less than 0.1%, which, in turn, may be associated with a frequent asymptomatic course. Potential “candidates” for surgical reconstruction are complicated aneurysms, asymptomatic aneurysms more than 2 cm in diameter; smaller aneurysms are subject to dynamic observation. Despite the frequent asymptomatic course, in case of complications (acute thrombosis of the aneurysm, distal embolization, rupture), popliteal artery aneurysms can be fatal for the lower limb. So, according to the results of studies with complicated aneurysms, the frequency of amputation following surgical treatment is 20%, and mortality can reach up to 15%. The use of high-precision topical diagnostics using multispiral computed tomography made it possible to optimize the tactics and volume of surgical intervention, as well as to avoid complications in the postoperative period.