Work

Mycotic popliteal artery aneurysm due to exostosis treated by excision and bypass

Year: 2025

Type: article

Abstract: Hereditary exostosis is an autosomal dominant condition characterized by multiple osteochondromas. A 54-year-old woman presented with two months of myalgias, fevers, and deep bone pain in her right lower extremity. CT angiography demonstrated a 6 x 4 cm popliteal artery aneurysm. She underwent femoral to popliteal artery bypass with greater saphenous vein. Intraoperatively, a bony prominence was seen protruding into the aneurysm sac and resected. Blood cultures grew Streptococcus mitis , a common oral microbe which may have translocated after dental cleaning. The patient recovered well with a patent bypass and normal PVR at two year follow up.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102106

Authors: Thomas J. Perry, Ryan Ellis, Ali Khalifeh

Institution: Cleveland Clinic

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250