Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm

Vascular. 2015 Aug;23(4):419-21. doi: 10.1177/1708538114551193. Epub 2014 Sep 22.


Infected popliteal aneurysms are a rare but high-risk pathology that may present as a surgical emergency with acute rupture and sepsis. Management of acute ischemia in the presence of systemic sepsis is challenging and requires timely diagnosis, rapid intervention, and multidisciplinary communication to ensure an optimum outcome for both life and limb in these patients. We report on a case of a ruptured mycotic popliteal artery aneurysm as a consequence of septic embolization from infective endocarditis managed by reverse saphenous vein bypass. The clinical presentation, diagnostic process, and approach to management along with a literature review on mycotic popliteal aneurysm are presented in this case report.

Keywords: Popliteal mycotic pseudoaneurysm; popliteal pseudoaneurysm.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aneurysm, False / diagnosis*
  • Aneurysm, False / microbiology
  • Aneurysm, False / surgery*
  • Aneurysm, Infected / diagnosis*
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / surgery*
  • Aneurysm, Ruptured / diagnosis*
  • Aneurysm, Ruptured / microbiology
  • Aneurysm, Ruptured / surgery*
  • Anti-Bacterial Agents / therapeutic use
  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / microbiology
  • Endocarditis, Bacterial / surgery
  • Humans
  • Male
  • Popliteal Artery / diagnostic imaging
  • Popliteal Artery / microbiology
  • Popliteal Artery / surgery*
  • Saphenous Vein / transplantation*
  • Substance Abuse, Intravenous / complications*
  • Surgical Flaps
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Young Adult


  • Anti-Bacterial Agents