Popliteal Vein Aneurysm Causing Pulmonary Embolus

Management of Symptomatic Venous Aneurysm

“…Although the long-term results of surgery are yet unknown [22], data from literature on the primary patency rates are satisfactory, with no reports of recurrent pulmonary embolism following surgical repair. In one case only VA recurrence after lateral tangential aneurysmectomy has been previously reported [23].…”

Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance

“…These anomalies are particularly dangerous because they are usually asymptomatic and because their first manifestation is an episode of pulmonary embolism. 17,[50][51][52][53][54] With the availability and extensive use of ultrasound scanning for the screening of patients with varicose veins and other vascular and nonvascular diseases, venous aneurysms are being detected more often than in the past. Multiple venous aneurysms may be pre-sent in some combined vascular malformations (such as the Klippel Trenaunay, Parkes-Weber, and Maffucci syndromes).…”

Popliteal venous aneurysms: A two center experience with 21 cases and review of the literature

“…Various other techniques with venous reconstruction have been used: resection with ligation, resection with bypass, vein patch repair. Resection of the aneurysm with vein interposition graft or transposition has been perfomaed in 11 cases (five cases in our series) with lesser saphenous vein, greater saphenous vein panel composite, superficial femoral vein and internal jugular vein [5,12,20,35,42,48].…”

“…Thrombolytic therapy has been used as part of the initial treatment, especially in patients who are first seen with PE. In the literature, four patients received streptokinase [6,12,19,20,32] before undergoing surgical repair of the aneurysm. Lytic therapy can improve cardiopuhnonary function and can also reduce or eliminate the thrombus in the aneurysm, facilitating the surgical repair [34].…”