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May 1963

Management of Giant Popliteal Aneurysm

Author Affiliations

From the Departments of Surgery, Northwestern University Medical School, Veterans Administration Research Hospital, and Chicago Wesley Memorial Hospital.

Arch Surg. 1963;86(5):818-825. doi:10.1001/archsurg.1963.01310110128018

Aneurism is a disease highly interesting to the surgeon, as much from the frequency of its occurrence, as from its generally fatal termination...

—A. Ross (1812)

Resectional therapy of peripheral aneurysms and replacement with suitable arterial grafts has virtually eradicated this entity as a cause of death. In addition, the success of aneurysmectomy and graft replacement has stimulated earlier diagnosis of the lesion so that resected popliteal aneurysms today are usually of small size. Generally speaking, these small aneurysms cause few symptoms and occur in an ectatic arterial system which considerably simplifies the placement of a graft to restore arterial flow.1

Nevertheless, some popliteal aneurysms are allowed to reach large size before direct therapy is sought. The reasons for delay are various but center upon failure of diagnosis or poor general condition of the patient. Often symptoms produced by the aneurysm are treated, the causative factor being overlooked. Equally

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