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首页> 外文期刊>Current Surgery >Iatrogenic entrapment: femoro-popliteal vein bypass graft.
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Iatrogenic entrapment: femoro-popliteal vein bypass graft.

机译：医源性压迫：股-静脉搭桥术。

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摘要

A rare cause of occlusive vascular disease is the "Popliteal Artery Entrapment Syndrome." The most common cause of this problem is abnormal position of the popliteal artery caused by abnormal migration of the medial head of the gastrocnemius. An acquired form can occur because of tunneling defects by inadvertent placement of venous bypass graft medial to the medial head of the gastrocnemius muscle. We present 2 cases of iatrogenic entrapment of the femoropopliteal bypass graft. Investigations revealed compression of the graft with extension of the knee. Both cases were treated surgically. Intraoperatively there was evidence of compression of the graft between the tendons of the semitendinosus and the gracilis muscles and the medial head of the gastrocnemius muscle. Treatment involved division of the medial head of the gastrocnemius in 1 patient, and in the other, the tendons of gracilis and semitendinosus were divided. No compression of the graft was noted postoperatively by noninvasive test. No significant mobility issues caused by the division of muscle or the tendons were present in the postoperative period.
机译：闭塞性血管疾病的罕见原因是“ P动脉夹闭综合征”。此问题的最常见原因是腓肠肌内侧头的异常移动引起的the动脉位置异常。由于无意将静脉旁路移植物内侧放置到腓肠肌内侧头的穿刺缺陷而可能导致获得性形式。我们目前2例股pop旁路搭桥的医源性诱捕。调查显示，随着膝关节的延伸，移植物受压。两种情况均通过手术治疗。术中有证据显示半腱肌腱和腹股沟肌之间以及腓肠肌内侧头之间的移植物受压。治疗方法包括1例腓肠肌内侧头的分割，另一例，gra骨肌腱和半腱肌腱的分割。术后无创检查未发现移植物受压。术后没有出现因肌肉或肌腱分裂引起的明显活动性问题。

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