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[Aneurysms of the popliteal vein; treat early].
MedLine Citation:
PMID:  22333398     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Venous aneurysms are uncommon and of little clinical significance. However aneurysms of the popliteal vein may be a source of potentially lethal recurrent pulmonary emboli and deep venous thrombosis. This is also possible in asymptomatic aneurysms without thrombus.
CASE DESCRIPTION: A 67-year-old hairdresser saw a vascular surgeon with a swelling in the left popliteal space that was mildly painful. Further investigations revealed an aneurysm of the popliteal vein without accompanying thrombus. She underwent surgery to remove the aneurysm and maintain the patency of the popliteal vein. Postoperatively the patient was treated with oral anticoagulation therapy for 6 months. Postoperative duplex tests showed the popliteal vein to be patent and without thrombus. The patient continued to have minor oedema after a day of standing at work.
CONCLUSION: Aneurysms of the popliteal vein are rare and are often accidental findings during duplex examination for varicose veins. They can also present as recurrent pulmonary embolisms or deep venous thrombosis. Vascular surgery is the treatment of choice due to the risk of thrombo-embolic complications of the aneurysm, also in asymptomatic patients.
A M Wiersema; J K Kievit; E N van Tol; C M A Bruijninckx
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Nederlands tijdschrift voor geneeskunde     Volume:  156     ISSN:  1876-8784     ISO Abbreviation:  Ned Tijdschr Geneeskd     Publication Date:  2012  
Date Detail:
Created Date:  2012-02-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400770     Medline TA:  Ned Tijdschr Geneeskd     Country:  Netherlands    
Other Details:
Languages:  dut     Pagination:  A3927     Citation Subset:  IM    
Westfriesgasthuis, afd. Vaatchirurgie, Hoorn.
Vernacular Title:
Aneurysmata van de V. poplitea: tijdig behandelen.
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