Question

How would you manage a case of popliteal artery aneurysm?

Hint:

Surgical intervention is often recommended for larger or symptomatic popliteal artery aneurysms, as they carry a higher risk of rupture and embolization.

Answer 1

Step 1: Diagnosis and Imaging:
The first step in managing a popliteal artery aneurysm is confirming the diagnosis through imaging techniques such as ultrasound, CT angiography, or MRI to assess the size and location of the aneurysm.
Step 2: Risk Assessment:
Assess the patient's overall cardiovascular health, including any history of peripheral artery disease, diabetes, or hypertension, which may influence treatment decisions.
Step 3: Surgical Repair:
For aneurysms greater than 2 cm in diameter, surgical repair is typically indicated. This may involve bypass grafting or endovascular repair, depending on the location and size of the aneurysm.
Step 4: Conservative Management:
In smaller, asymptomatic aneurysms, conservative management with regular monitoring may be considered, especially if the patient has other significant medical conditions that complicate surgery.
Step 5: Postoperative Care:
After surgical repair, follow-up care includes monitoring for graft patency, managing anticoagulation if required, and addressing any risk factors such as smoking or hypertension to prevent recurrence.