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March 30, 1957


Author Affiliations

New York

From the Department of Surgery, New York University Post-Graduate Medical School.

JAMA. 1957;163(13):1102-1106. doi:10.1001/jama.1957.02970480006002

• Popliteal aneurysm is a dangerous condition that can lead to sudden gangrene of the affected part or to rupture and death. The diagnosis is made simple by following the method here described, and immediate operation is called for if the diagnosis is definite. The 16 popliteal aneurysms here analyzed occurred in 13 patients. Two of the aneurysms were asymptomtic. Four were treated by resection and autologous vein graphs. Twelve were treated by obliterative endoaneurysmorrhaphy. This is preferred if the patient is a poor surgical risk or has no palpable pulse in the dorsalis pedis and posterior tibial arteries. Lumbar sympathectomy is now withheld until completion of the endoaneurysmorrhaphy but is carried out at once if the foot becomes cyanotic and cool; it was necessary postoperatively only three times in this series. The results were good and useful extremities were retained in all cases but one, in which the limb had been doomed by an embolic episode four days before operation.