Primary popliteal venous aneurysm with recurrent pulmonary emboli

Grice, George D.; Robinson, Paul H.; Rheudasil, J.Mark

doi:10.1016/0741-5214(90)90154-3

Cited by 48 publications

(19 citation statements)

References 10 publications

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“…13 They may present with deep venous thrombosis, swelling of the affected extremity, or pulmonary embolism. [14][15][16][17][18][19][20][21] In our patient, the aneurysm of the left external iliac vein was associated with an ipsilateral AVF between the superficial femoral artery and vein. In the English literature, we found only 10 case reports of such secondary iliac venous aneurysms associated with but separate from AVFs.…”

Section: Discussionmentioning

confidence: 86%

Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula

Kuhlencordt

Linsenmeyer

Rademacher

et al. 2008

Journal of Vascular Surgery

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We report about a young patient with a large aneurysm of the left external iliac vein associated with a traumatic arteriovenous fistula between the left superficial femoral artery and the femoral vein after a stab wound 20 years ago. The patient presented with swelling of the left leg, which developed during the past years and worsened after saphenectomy 12 months before hospital admission. The chronically hyperperfused common iliac artery proximal to the arteriovenous fistula was compressing the common iliac vein. The venous outflow obstruction and subsequent venous hypertension render a possible explanation for the formation of the iliac vein aneurysm. Surgical repair of the venous aneurysm by interposition grafting and closure of the arteriovenous fistula was successful. A postoperative computed tomography scan showed a 50% size reduction of the feeding artery, underlining the ability of the arterial system to normalize arterial diameter in response to flow reduction, even after a high flow situation had existed for probably >20 years.

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Section: Discussionmentioning

confidence: 86%

Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula

Kuhlencordt

Linsenmeyer

Rademacher

et al. 2008

Journal of Vascular Surgery

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“…Inflammation, trauma, degenerative changes and congenital wall weakness may be some of the probable etiologies for PVAs [11]. Nearly all cases of PVAs are diagnosed after patients present with complications due to PVA, deep vein thrombosis and pulmonary emboli being the most common of all [12] [13] [14]. However, in our case, chronic posterolateral left knee pain and local sign such as mild swelling in the popliteal region was the primary presentation.…”

Section: Discussionmentioning

confidence: 50%

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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“…5 Surgical treatment usually consists of aneurysm resection and replacement with a segment of autologous GSV or poly(tetrafluoroethylene) or, more The use of temporary caval filter protection is not uniformly adopted, and indeed is reported only in four cases; it should be recommended even in symptomatic patients for thromboembolic phenomena and, as described in a few cases, even during oral anticoagulation therapy.…”

Section: Discussionmentioning

confidence: 98%

“…The indication for surgical treatment is widely accepted in case of PE or sac larger than 2 cm, while it is not univoque in case of asymptomatic aneurysm, without intraluminal thrombus, occasionally observed. 5…”

Section: Discussionmentioning

confidence: 99%

Pulmonary embolism due to popliteal vein aneurysm: approach and surgical treatment – a case report

et al. 2013

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Pulmonary embolism is the first presentation in 70-80% in patients with aneurysm of popliteal vein. We present a case of young man admitted in our hospital with respiratory distress, tachycardia and D-dimer >3000 mg/dL. The observation of pulmonary embolism required the placement of a caval temporary filter before the surgical treatment. The use of temporary filter is recommended in symptomatic patients for thromboembolic phenomena, and when ultrasound detects the presence of floating thrombus.

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Primary popliteal venous aneurysm with recurrent pulmonary emboli

Cited by 48 publications

References 10 publications

Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula

Large external iliac vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula

A Rare Presentation of Popliteal Vein Aneurysm: Case Report

Pulmonary embolism due to popliteal vein aneurysm: approach and surgical treatment – a case report

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