Popliteal artery thrombosis complicating posterior tibial exostosis in a 35-year-old male - 25/04/16

Doi : 10.1016/j.otsr.2016.01.011

J.C. Escudier ^a,^⁎ , M. Simonnet ^a, J.C. Grillo ^b, R. Gulino ^a
^a Hôpital Sainte-Musse, service de chirurgie vasculaire et thoracique, avenue Sainte-Claire-Deville, 83000 Toulon, France
^b Hôpital Sainte-Musse, service de chirurgie orthopédique, avenue Sainte-Claire-Deville, 83000 Toulon, France

^⁎Corresponding author. Hôpital Sainte-Musse, chirurgie thoracique et vasculaire, 54, rue Henri-Sainte-Claire-Deville, 83056 Toulon, France Tel.: +33 6 75 32 36 05.

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Abstract

Chronic popliteal artery thrombosis complicating tibial exostosis has never been described as far as we know. Here, we report the case of a 35-year-old male patient complaining of intermittent claudication over the previous 4 months, without history of trauma or hereditary multiple exostoses. Clinical examination found no popliteal or distal pulses. The diagnosis was confirmed based on CT angiography showing distinct blockage of the contrast product over an exostosis on the posterior side of the proximal tibia. Treatment consisted of removing the exostosis and then bypassing the popliteal artery with a reversed autogenous venous graft.

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Keywords : Exostosis, Popliteal artery, Chronic thrombosis, Tibia