{
  "abstract": "Popliteal artery aneurysms (PAAs) can recur because of persistent perfusion of the excluded aneurysm sac. However, recurrences despite exclusion bypass is rare. We report the case of a 76-year-old man presenting with a second recurrence of PAA with proximal extension involving the distal superficial femoral artery, occurring more than 30 years after initial ligation and bypass. He underwent a third operation involving repeat aneurysm sac excision and ligation of collateral geniculate branches. This case highlights the rarity and challenges of managing recurrent PAA, emphasizing the importance of meticulous collateral control during the index procedure and lifelong surveillance following repair.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Vascular Surgery, Sengkang General Hospital, Singapore",
    "Department of Vascular Surgery, Singapore General Hospital, Singapore; Ministry of Health Holdings, Singapore; Correspondence: Dr Jack Kian Ch'ng, Department of Vascular Surgery, Singapore General Hospital & Sengkang General Hospital, Outram Road 169608, 110 Sengkang East Way, Singapore 544886"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Rachel Ho Yu Theng, Dr, MD, FRCS (Ed)"
    },
    {
      "affs": [
        0
      ],
      "name": "Tsinrong Lee, MBBS, MRCS (RCSI)"
    },
    {
      "affs": [
        1
      ],
      "name": "Jack Kian Ch'ng, MD"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/f4ymktddznm03.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jvscit.2026.102533",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S246842872600417X",
  "id": "f4ymktddznm03",
  "issns": [
    "2468-4287"
  ],
  "landing_url": "https://doi.org/10.1016/j.jvscit.2026.102533",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC666-701"
    ],
    [
      "lcc",
      "RD1-811"
    ],
    [
      "openalex",
      "2746|Aortic aneurysm repair treatments"
    ]
  ],
  "openalex": "W7214802398",
  "pdf_url": "https://www.jvscit.org/article/S2468-4287(26)00417-X/pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-08",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/f4ymktddznm03.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T14:20:47Z",
      "native_id": "0a5b81fbf060408f8c92cd230d6dd311",
      "source": "doaj",
      "url": "https://doi.org/10.1016/j.jvscit.2026.102533"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Aortic aneurysm repair treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Second recurrence of an excluded popliteal artery aneurysm three decades after ligation and bypass secondary to persistent genicular collateral perfusion",
  "title_text": "Second recurrence of an excluded popliteal artery aneurysm three decades after ligation and bypass secondary to persistent genicular collateral perfusion",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T14:20:47Z",
  "url": "https://research.draconitic.com/paper/f4ymktddznm03",
  "venue": "Journal of Vascular Surgery Cases and Innovative Techniques",
  "versions": []
}