To treat or not to treat basilic vein aneurysms? A clinical dilemma

Abstract

Superficial venous aneurysms are a very uncommon disease probably associated with thrombosis and recurrent pulmonary thromboembolisms. Surgical treatment is safe and is performed in symptomatic cases. Surgical repair of superficial venous aneurysms is a recommended treatment, and no postoperative complications usually occur. The aim of this study is to report our experience treating superficial venous aneurysms, because they can cause devastating consequences. Obviously, they should be surgically treated if they are symptomatic, but there exists the possibility of complications such as thromboembolic events; however, they are unpredictable. Thus, the only solution to remove the potential risk of developing pulmonary or other embolic events is prophylactic surgery and anticoagulant therapy, also in low-risk patients.

Basilic vein aneurysm and palmar intramuscular hemangioma with peri and inter tendinous growth

“…Superficial VA is a rare and unsurveyed entity. Very limited number of cases with basilic vein aneurysms has been reported in the literature [1] , [2] , [3] , [4] , [5] . Furthermore, there is only one reported case of concomitant occurrence of basilic vein aneurysm and deep upper extremity hemangioma [6] .…”

“…Basilic vein aneurysm has been reported in very few cases [1] , [2] , [3] , [4] , [5] and its co-occurrence with deep hemangiomas has been reported only in one case [6] . In this report, we present a case with co-occurrence of palmar intramuscular hemangioma and basilic vein aneurysm in distal forearm; with emphasis on preoperative diagnostic workup and imaging findings.…”