Giant Spontaneous Greater Saphenous Vein Aneurysm

Lim, Sungho; Halandras, Pegge; Hershberger, Richard; Aulivola, Bernadette; Crisostomo, Paul R.

doi:10.1016/j.avsg.2016.12.013

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…Duplex ultrasonography is the preferred diagnostic tool, given its accessibility, ability to gauge the aneurysm size and thrombus presence, and avoidance of contrast or radiation exposure. Further imaging options include venography, CTA, or MRA [5,23]. Pathological examination of the excised aneurysm can confirm the diagnosis, typically revealing reduced smooth muscle cells and increased fibrous tissue in the vascular wall, resembling the histological structure of arterial aneurysms [1,11,23].…”

Section: Discussionmentioning

confidence: 99%

“…Further imaging options include venography, CTA, or MRA [5,23]. Pathological examination of the excised aneurysm can confirm the diagnosis, typically revealing reduced smooth muscle cells and increased fibrous tissue in the vascular wall, resembling the histological structure of arterial aneurysms [1,11,23].…”

Section: Discussionmentioning

confidence: 99%

“…Various surgical approaches for aneurysm removal include ligation, tangential excision with lateral venorrhaphy or autologous vein patch, and complete resection with end-to-end anastomosis or interposition grafting [1,5]. Alternative therapies, such as endovenous laser or radiofrequency ablation, have also been described, but they lack long-term success data [3,23].…”

Section: Discussionmentioning

confidence: 99%

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Rapidly Growing and Ruptured Great Saphenous Vein Aneurysm in a Liver Transplant Patient

Racman,

Kafol,

Jug

et al. 2024

Medicina

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Venous aneurysms are rare vascular malformations that can lead to significant clinical complications, including thrombosis, pulmonary embolism, rupture, and even fatal outcomes when not promptly and adequately managed. This case report presents a liver transplant patient under immunosuppressive therapy who developed a rapidly progressing great saphenous vein aneurysm, ultimately requiring urgent surgical intervention due to acute bleeding from the ruptured aneurysm. Immunosuppression emerges as a potential key factor in the formation and rapid growth of the aneurysm, with the pathophysiological mechanism potentially involving increased expression of specific matrix metalloproteinases. Further research is warranted to gain a better understanding of the role of immunosuppression in the development of venous aneurysms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Rapidly Growing and Ruptured Great Saphenous Vein Aneurysm in a Liver Transplant Patient

Racman,

Kafol,

Jug

et al. 2024

Medicina

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“…The incidence of SVA has been reported to be as high as 11.74% in ultrasound studies assessing chronic venous insufficiency (CVI) [5][6][7][8][9][10][11] patients with a CEAP classification of 4-6. Nevertheless, our case series of 20 SVA from 2463 venous procedures found a lower incidence rate of 0.81% in surgical candidates.…”

Section: Incidence and Presentationmentioning

confidence: 99%

“…In rare cases, local thrombosis or venous thromboembolism may occur, mainly if the aneurysm is located near the saphenofemoral (SFJ) or saphenopopliteal junction (SPJ). [10][11][12][13][14][15] The risk of thrombosis leading to deep vein thrombosis or PE is low for SVA, with fewer than 10 cases reported. 16 However, the risk of PE has been reported in patients with large SVAs, those with a diameter greater than 30 mm.…”

Section: Complicationsmentioning

confidence: 99%

Saphenous vein aneurysms characterization and treatment: A 36-year single center experience

et al. 2023

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Background Superficial vein aneurysms (SVA) are rare vascular pathologies associated with trauma, chronic venous disease, and venous malformation. Method We retrospectively reviewed cases of SVA treated from 1986 to 2022. Results Out of 2463 venous procedures, 16 patients were found with 19 GSV and 1 SSV aneurysms, with 88% presenting with a palpable mass. Varicose veins were noted in 94% of patients, 81% had concomitant reflux, 15% had thrombus within the aneurysm sac, and 19% demonstrated multiple aneurysms. All patients underwent ligation and excision. Post-procedure, 55% of patients received anticoagulants, and 85% received compression. Mean follow-up was 19.4 months, with no aneurysm recurrence. We propose a modification to the current SVA classification. Conclusion The prevalence of multiple aneurysms suggests the need for complete limb imaging in affected patients. Surgical management of SVA was effective in preventing SVA recurrence, while the proposed classification modification will aid in future SVA management.

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Superficial Femoral Venous Aneurysm in a Patient with Klippel-Trenaunay Syndrome: The Femoral Hernia Mimic

Sivakumaran

Duara

Vasudevan

2019

Annals of Vascular Surgery

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Giant Spontaneous Greater Saphenous Vein Aneurysm

Cited by 7 publications

References 20 publications

Rapidly Growing and Ruptured Great Saphenous Vein Aneurysm in a Liver Transplant Patient

Rapidly Growing and Ruptured Great Saphenous Vein Aneurysm in a Liver Transplant Patient

Saphenous vein aneurysms characterization and treatment: A 36-year single center experience

Superficial Femoral Venous Aneurysm in a Patient with Klippel-Trenaunay Syndrome: The Femoral Hernia Mimic

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