Surgical Therapy of an Asymptomatic Primary Popliteal Venous Aneurysm

Lutz, H.; Sacuiu, R.D.; Savolainen, Hannu

doi:10.1016/j.avsg.2011.11.027

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…There have only been approximately 150 reported cases of popliteal vein aneurysms to date. 1 They are usually discovered in the ensuing workup after a patient presents with pulmonary embolism, but they can also be discovered incidentally or in a patient with lower-extremity symptoms, as in our case. 2 Because popliteal vein aneurysms present a large risk for pulmonary embolism (estimates have been as high as 70-80%), which is a potentially fatal event, they are usually treated aggressively via surgery.…”

Section: Introductionmentioning

confidence: 59%

Popliteal Vein Aneurysm: A Case Report

Shaub

Akbari

2014

Journal for Vascular Ultrasound

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Introduction —Although popliteal vein aneurysms are the most common of all venous aneurysms, they are exceedingly rare. In fact, there have only been approximately 150 reported cases to present. We present a case of a popliteal vein aneurysm found in a patient with right lower-extremity symptoms. Patient Description —A 51-year-old woman presented with right lower-extremity pain and swelling and was evaluated for deep venous thrombosis via venous duplex ultrasound. Methods —Venous duplex ultrasound of the bilateral lower extremities was performed upon presentation to an outside hospital and again after referral to our vascular surgery service. Results —Original duplex as well as repeat after referral to our vascular surgery service were found to be negative for deep venous thrombosis but revealed a 2.7 by 2.1-cm fusiform popliteal vein aneurysm on the right (symptomatic) side. Discussion —Although many venous aneurysms are clinically insignificant, popliteal vein aneurysms present a poorly characterized risk for pulmonary embolism (some estimates are as high as 70–80%), which can be potentially fatal. Therefore, surgical repair is generally warranted, especially in cases in which the diameter is greater than 2.0–2.5 cm, as in this case. Our patient, however, declined surgical intervention despite this information. Thus, in addition to presenting our case as well as mentioning standard surgical techniques, we will briefly comment herein on the limited nonsurgical treatment options for popliteal venous aneurysms found in the literature.

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Section: Introductionmentioning

confidence: 59%

Popliteal Vein Aneurysm: A Case Report

Shaub

Akbari

2014

Journal for Vascular Ultrasound

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“…7 The first case of recurrent PE was documented by Dahl et al 8 Some cases tend to be asymptomatic and the aneurysms are accidentally identified due to other causes. [9][10][11][12] Nevertheless, when there are associated symptoms, these are usually of pulmonary origin and chronic venous disease. 13 In most cases, PE is present and is the first manifestation of a venous aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Acute pulmonary embolism as a complication in a young male patient with a left popliteal venous aneurysm

et al. 2023

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Venous aneurysms are rare and have a prevalence of 0.1 to 0.2% in the reported series. Typically, patients do not present any symptoms, but are prone to develop deep venous thrombosis (DVT) and the most feared complication, pulmonary embolism (PE). We present the case of a previously healthy 36-year-old man who presented at the emergency department with tachycardia, dyspnea, and pleuritic pain. A thoracic computed tomography angiography (CTA) confirmed the diagnosis of acute pulmonary embolism. He was treated with systemic thrombolysis and anticoagulation. In the further workup of the cause of the embolism, computed tomography revealed a fusiform dilation of the left popliteal vein measuring 3 by 3 centimeters (cm) with an incomplete filling defect because of thrombus presence. The patient underwent open surgical repair. At one month follow-up, he was asymptomatic, and an ultrasound revealed complete patency of the popliteal vein without dilatation or thrombus.

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