¹Kalp Damar Cerrahisi AD, Trakya Üniversitesi Tıp Fakültesi, Edirne DOI : 10.9739/uvcd.2013-36073 Objective: Popliteal artery aneurysms are the most frequent peripheral arterial aneurysms. The primary surgical goal of popliteal artery aneurysm is to prevent arterial embolism, ex- tremity ischemia and loss of extremity and secondly to avoid aneurysm enlargement and rupture. In this study, we aimed to investigate the results of patients diagnosed as popliteal artery aneurysm and operated via posterior approach. Material and Methods: Between January 2002 and January 2012, 12 male patients (mean age: 61.7±14.1 years) with popliteal artery aneurysm were operated via posterior approach in our clinic. All patients were diagnosed with physical examination and Doppler ultrasonography. The mean popliteal artery aneurysm diameter was 3.4±1.2 cm (2.4-6.1 cm). Five patients were operated under emergency conditions and seven were operated under elec- tive conditions. Patients were followed up routinely with Doppler ultrasonography. Results: Two of the five patients operated under emergency conditions developed compartment syndrome and required a fasciotomy. In one of these patients, acute lower extremity ischemia did not recover and amputation was performed in right lower extremity, above the knee. Symptoms improved in all of seven patients operated under elective conditions and there was no extremity loss. Thirtyday primary patency rate was 91.7%. No wound healing or wound infection problems were observed. Conclusion: In surgical treatment of popliteal artery aneurysms, posterior approach can be performed with low morbidity rates in suitable cases. Keywords : Popliteal artery; aneurysm; surgery