Popliteal venous aneurysm: a source of pulmonary embolism

Chahlaoui, J; Julien, M; Nadeau, P.; Bruneau, Luc; Roy, Preety Mittal; Sylvestre, Jean-Pierre

doi:10.2214/ajr.136.2.415

Cited by 57 publications

(22 citation statements)

References 4 publications

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“…They probably result from congenital and/or acquired (trauma, inflammation, degenerative changes, postthrombotic syndrome and also physiological stimulations e.g. cough) weakness of venous wall [6][7][8][9] . Although some authors reported no evident pathologic changes 10 reports of others included a detailed microscopic description of the lesions called endophlebohypertrophy and endophlebosclerosis 8,9,[11][12][13] , which was also found in the our case 1.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…Increased use of venous duplex imaging in recent years in patients with chronic venous insufficiency leads to more frequent incidental discovery of both superficial 4 and deep venous aneurysms 20,21 , nevertheless in majority of patients with deep, especially popliteal venous aneurysms, this presented with pulmonary emboli 2,7,8,15,[22][23][24][25][26] . On the other hand, thrombembolism is less common in aneurysms involving superficial veins than those involving deep ones [3][4][5] .…”

Section: Literature Review and Discussionmentioning

confidence: 99%

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Lesser Saphenous Vein Aneurysm and Popliteal Vein Aneurysm: Report of Two Cases and Review of the Literature

Drác¹,

Utíkal²,

Köcher³

et al. 2009

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background: During the last ten years we diagnosed two cases of venous aneurysm. The purpose of this report was to point out a certain risk of the thrombembolism of superficial venous aneurysms and to review our experience in the management of superficial and deep venous aneurysms.Methods: The presentation and management of these lesions were reviewed and discussed together with other cases from available literature.Results: In the first case an aneurysm of lesser saphenous vein with a possible threat of thrombembolism was revealed and surgically solved with saphena resection. Ten years after the surgery she is still symptom free. In the second case a small fusiforme popliteal vein aneurysm without any evidence of mural thrombus was diagnosed. The patient was treated conservatively with regular venous duplex imaging follow up. Two years later the disease has been stable.Conclusions: Superficial venous aneurysms can have a certain risk of the thrombembolism. Since surgical therapy is very simple, it can be recommended in all cases. Nevertheless, trombembolism is more common in deep venous aneurysms, especially popliteal ones, in which surgical repair can be based on their pathological features and presentation or can be indicated in all cases.

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Section: Literature Review and Discussionmentioning

confidence: 99%

Section: Literature Review and Discussionmentioning

confidence: 99%

Lesser Saphenous Vein Aneurysm and Popliteal Vein Aneurysm: Report of Two Cases and Review of the Literature

Drác¹,

Utíkal²,

Köcher³

et al. 2009

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…PVA is a true aneurysm which consists of intact vessel wall [8]. However, popliteal venous aneurysms still lack an exact definition.…”

Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Popliteal Vein Aneurysm: Case Report

Azandaryani¹,

Ghaderzadeh²,

Farsangi³

et al. 2017

CRCM

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Popliteal venous aneurysms (PVAs) are very rare. More often it is an incidental finding found on duplex ultrasonography. Venous thrombosis and pulmonary emboli is the primary presentation in most cases of PVAs, hence it is a clinically significant abnormality and a potentially morbid and fatal condition. Early surgical repair should be performed immediately after the diagnosis is made because of the risk of pulmonary emboli. We report a case of symptomatic PVA presenting primarily with local symptoms and chronic pain in popliteal region.

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“…Popliteal vein aneurysms are known to thrombose and may result in pulmonary embolism, [16][17][18] even during full anticoagulating therapy. 17,19 In the thorax and abdomen they may become symptomatic when they compress local organs.…”

Section: Discussionmentioning

confidence: 99%