Primary Venous Aneurysms of the Superficial Venous System

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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“…Simplicity and efficiency of sclerotherapy of superficial venous aneurysms were demonstrated by Seo et al 34 .…”

Section: Literature Review and Discussionmentioning

confidence: 92%

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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“…Histological discrepancies may represent the comparison of primary venous aneurysms to aneurysms secondary to venous hypertension. 2,3 The duration of hypertension may also become a factor in the histological findings.…”

Section: Introductionmentioning

confidence: 99%

Aneurysms of the superficial venous system: classification and treatment

Bush

2014

Veins and Lymphatics

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Superficial venous aneurysms are rarely described and they may remain indolent or become the source for pulmonary emboli. A system of classification and treatment protocol according to size and location is proposed.Three hundred thirty patients were evaluated for symptomatic venous disease (C2-C6) over a 2-year period. A proposed designation for venous aneurysm is described. Patients fulfilling this criterion are described in reference to site of involvement, histologic findings, and method of treatment. Five percent of patients met the criteria for venous aneurysm. Nine aneurysms of the greater saphenous vein were identified. Three aneurysms were proximal to the subterminal valve and the rest were distal.

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“…The complications, such as pulmonary embolism, rupture, or thrombosis, have been reported in VA. 1,3,4 Since primary superficial VA has no life-threatening complication without thrombus, if the patient has no symptoms or cosmetic demands, regular follow-up may be advised and occurred in the current case. Otherwise, surgical excision can be considered.…”

Section: Journal Of Diagnostic Medical Sonography 32(3)mentioning

confidence: 95%

“…The typical appearance of a VA is a well-defined anechoic subcutaneous structure, which is continuous with a superficial vein, can be easily compressed with pressure applied to the transducer, and extended immediately with pressure removed. 4 These characteristics can differentiate it easily from venous malformation, which appears as well-circumscribed, sponge-like vascular spaces or as poorly marginated collections of veins. 12 Computed tomography(CT) or magnetic resonance imaging (MRI) scans are further choices for diagnosing VA.…”

Section: Journal Of Diagnostic Medical Sonography 32(3)mentioning

confidence: 99%

“…2 Based on the etiology, it is classified as primary and secondary VA. 3 Primary VA refers to the pathogenesis associated with congenital weakness of the vein wall, whereas secondary VA refers to the pathogenesis associated with trauma, inflammation, degenerative change in the wall, or increased pressure in the vein. 4 Based on the involved vein in the venous system, the extremity VA is classified as superficial and deep. 1 VA is uncommon.…”

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confidence: 99%

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Primary Venous Aneurysm of the Basilic Vein at the Distal Forearm

Li¹

2016

Journal of Diagnostic Medical Sonography

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Venous aneurysm (VA) is an uncommon solitary focal dilation of a vein. Primary superficial VA, which may be associated with congenital weakness of the vein wall, is rare. In this case study, an extremely rare primary superficial VA from the basilic vein in the distal forearm is reported. The patient presented with a painless soft mass in the ulnar aspect of the distal forearm without any history of trauma, inflammation, or systematic disease. The mass was prominent with the arm in dependence and diminished with the arm elevated. Ultrasound scanning revealed a saccular dilation of the vein coursed along the path of the basilic vein. Pulsed-wave Doppler confirmed the venous origin. No thrombus was found inside the VA. The patient was recommended to observe the change with no need for surgery at the time by the vascular surgeon.

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Primary Venous Aneurysms of the Superficial Venous System

Cited by 30 publications

References 17 publications

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

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

Aneurysms of the superficial venous system: classification and treatment

Primary Venous Aneurysm of the Basilic Vein at the Distal Forearm

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