Primary great saphenous vein aneurysm causing pulmonary embolism

Esposito, Andrea; Menna, Danilo; Baiano, A.; Capoccia, Laura

doi:10.1016/j.jvsv.2022.03.004

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…Therefore, any dilatation of a vein above the muscular fascia should be considered a VV for some authors, and the term aneurysm should be reserved for focal dilatations of deep veins only. 6,8,9 However, the loss of smooth muscle cells and elastic tissue is specific to VA and may help to distinguish the 2 entities. In our case, the absence of symptoms of chronic venous disease and VVs on observation of the lower limbs was already in favour of an isolated VA.…”

Section: Discussionmentioning

confidence: 99%

“…Rare observations of life-threatening VTE triggered by a great saphenous vein (GSV) aneurysm thrombosis have been reported. 5,6 Here we describe a case of acute thrombosis of a small saphenous vein (SSV) aneurysm, causing pain and disablement, successfully treated by surgery. The patient's written informed consent was obtained before this text was created in order to report on the specifics of his case and any accompanying images.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute Thrombosis of an Aneurysm of the Small Saphenous Vein: A Case Report

Hamdan,

Precup,

Falchero

et al. 2023

Vasc Endovascular Surg

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Background A venous aneurysm (VA) is a focal dilatation of a nonvariceal vein (diameter increased by at least 1.5 times compared to the adjacent upstream or downstream venous segment), which carries a risk of venous thromboembolism (VTE) when located in the deep veins of the lower limbs but also when it affects the veins above the muscle fascia. Case We report the case of a 40-year-old woman who presented with a painful and disabling mass-like lesion of the upper third of the right calf. A Doppler ultrasound (DUS) examination revealed a small saphenous vein (SSV) dilated at the saphenopopliteal junction (SPJ) and thrombosed along its entire length. Anticoagulant treatment was initiated but although the thrombosis regressed on DUS, the functional impotence and the persistence of pain prompted a stripping of the SSV. Histology allowed the diagnosis of SSV’s primary aneurysm. Discussion Dilated segments of the saphenous vein are not always varicose veins (VVs). True VAs can develop on veins located above the muscular fascia and, like deep VAs, may trigger VTE. Small saphenous vein aneurysms have seldom been reported, and only a few clinical observations have described the thrombosis of a SSV aneurysm. Any mass in the popliteal fossa or upper part of the calf should be examined by DUS to look for an SSV aneurysm. Excision of the saphenous vein with junctional ligation is advised if thrombosis is present at the time of diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute Thrombosis of an Aneurysm of the Small Saphenous Vein: A Case Report

Hamdan,

Precup,

Falchero

et al. 2023

Vasc Endovascular Surg

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“…This results from the pressure exerted by the adjacent arterial wall and the flow disturbance produced by continuous pulsations. Superficial vein aneurysms can be treated conservative, endovascular, and surgical [8], [9]. The indications for surgical treatment in superficial venous aneurysms are the presence of symptoms, the risk of thrombosis, compression of nearby structures, and more commonly esthetic problems.…”

Section: Discussionmentioning

confidence: 99%

“…Saphenous vein aneurysm usually occurs as soft, painless masses in the thigh or calf and is also very common the association with varicose veins [7]. They can be also associated with trauma, congenital weakness, or degenerative changes in the venous wall resulting from a connective tissue disorder or local inflammatory process, and cardiovascular abnormalities producing increased venous pressure should be considered a possible cause of venous aneurysm [8].…”

Section: Introductionmentioning

confidence: 99%

Greater Saphenous Vein Aneurysm: Case Report

Sterjo¹,

Otljanski

Murtezan³

2023

SEE J Cardiol

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BACKGROUND: Venous aneurysms are rare vascular pathology. They were first described by Sir Wiliam Osler in 1915 and thereafter Harris in 1928. Aneurysm on greater saphenous vein is mostly asymptomatic or they are responsible for no more than local discomfort, pain, and tenderness and it is detected when patients were referred for the treatment or evaluation of a femoral or inguinal hernia or soft-tissue masses. CASE PRESENTATION: We presented a case of a 64-year-old man admitted to the hospital for elective surgical treatment of greater saphenous vein aneurysm. Computed tomography angiography showed an aneurysmatic change on the saphenous vein on the right lower leg with dimension of aneurismae 41 × 40 × 39 mm. After the diagnostic examination was finish, there was an indication for surgical treatment. The patient was successfully operated with non-postoperative complications. CONCLUSION: The indications for surgical treatment in superficial venous aneurysms are the presence of symptoms, the risk of thrombosis, compression of nearby structures, and more commonly esthetic problems. Surgical treatment is the treatment of choice for reducing the symptoms, risk of thrombosis, and esthetic problems and it has excellent results if there are not any other vascular pathologies.

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