The manifestation of a popliteal artery aneurysm during pulse spray thrombolysis (PST)

We report the case of a 32-year-old woman presenting with acute extremity i schemia due to thrombosis of a previously undetected popliteal artery aneur ysm. The popliteal artery aneurysm was revealed by PST which was indicated for the treatment of thrombosis of the superficial femoral artery PST was c omplicated by a peripheral embolism with subsequent severe extremity ischae mia. Immediate embolectomy and reconstructive vascular surgery led to a suc cessful result. This case illustrates the diagnostic problems of a thrombosed popliteal art ery aneurysm and warns of embolic complications during PST.