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Management of Popliteal Aneurysms in the Elderly *
Author(s) -
TAHERI S. A.,
OSWAKS ROY M.
Publication year - 1974
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1974.tb05835.x
Subject(s) - medicine , surgery , asymptomatic , popliteal artery , stenosis , aortography , radiology , aorta
Popliteal aneurysms are more common than generally believed and they give rise to more complications than do aneurysms in other locations. Even when these aneurysms are asymptomatic there is danger of limb loss; when symptomatic they can be a threat to life. Too many limbs and lives are still being lost by conservative treatment or emergency operations for this lesion. When surgical treatment is elective, before complications develop, the mortality is low. The preferred technique is the bypass procedure accomplished by means of an autogenous saphenous‐vein graft. Old people tolerate this operation well despite the frequency of associated cardiovascular disease. An important point in management is early diagnosis by routine aortography whether or not the aneurysm is palpable. If the aortogram reveals a good outflow tract, an excellent result can be anticipated. The authors present data on their series of cases and review the data of other surgeons.