Rapid Expansion of Popliteal Artery Aneurysm after Lower Limb Graduated Compression Bandaging for Varicose Ulcer

This view of the medial aspect of the right knee was taken at outpatient clinic presentation and demonstrates the large swelling in the popliteal fossa, which was subsequently diagnosed on clinical and radiological testing to be a large right popliteal artery aneurysm. Also seen is the elastic graduated compression bandage she had been prescribed in the community for lower leg varicose ulceration.

This 3-dimensional reconstructed image from Computerized Tomography (CT) multislice angiography demonstrates a 4-centimetre right popliteal artery aneurysm.

This intra-operative image demonstrates a reversed long saphenous vein interposition graft bypass with exclusion of a large right popliteal artery aneurysm by a medial surgical approach.