Document Detail


Primary tibial vein aneurysm with recurrent pulmonary emboli.
MedLine Citation:
PMID:  20570471     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 42-year-old man with pleuritic chest pain, shortness of breath, and associated tachycardia. Three months before, he had been treated for similar features with the diagnosis of pulmonary emboli. Computed tomography scan showed multiple bilateral pulmonary emboli. He had no clinical evidence of deep venous thrombosis, but an accurate venous duplex examination revealed a thrombosis of the posterior tibial vein aneurysm. Thrombolysis, a temporary inferior cava filter (ICV filter), and tangential aneurysmectomy and lateral venorrhaphy were performed. Accurate duplex scan evaluation of lower limb venous system is mandatory in all cases of pulmonary embolism; anticoagulation may be ineffective in preventing pulmonary embolism, and the surgical repair is treatment of choice of this pathology because it is safe and effective.
Authors:
Roberto Gabrielli; Maria Sofia Rosati; Alessandro Costanzo; Roberto Chiappa; Andrea Siani; Giovanni Caselli
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-08
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-30     Completed Date:  2010-08-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  464-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Vascular and Endovascular Surgery, Policlinico Casilino University of Rome, Rome, Italy. rogadoc@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / complications*,  therapy,  ultrasonography
Humans
Leg / blood supply*
Male
Pulmonary Embolism / etiology*,  radiography,  therapy
Recurrence
Thrombolytic Therapy
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Duplex
Vascular Surgical Procedures
Veins
Vena Cava Filters
Venous Thrombosis / etiology*,  therapy,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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