Document Detail


Surgical repair of primary saphenous vein aneurysm of the proximal leg after initial presentation as an inguinal hernia.
MedLine Citation:
PMID:  12455795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary venous aneurysms of the proximal saphenous vein are uncommon. They are most frequently seen in patients referred for evaluation and treatment of an inguinal or femoral hernia. Since 1992 five patients with a proximal saphenous venous aneurysm were referred for evaluation and treatment of an inguinal or femoral hernia. Data from five consecutive patients treated for a proximal saphenous venous aneurysm were analyzed. Four of the five patients were treated successfully by replacing the proximal saphenous venous aneurysm with a 6-mm expanded polytetrafluoroethylene (IMPRA) interposition graft. All grafts were patent 2 years after the surgical procedure by Doppler examination. A primary aneurysm of the proximal saphenous vein can be successfully repaired using a polytetrafluoroethylene interposition graft with long-term patency. Preservation of the saphenous vein should be considered in patients who have a normal distal saphenous vein. Repair of a primary saphenous venous aneurysm preserves the saphenous vein for use as a conduit for later bypass surgery of the leg or heart.
Authors:
James Majeski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  68     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-28     Completed Date:  2002-12-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  999-1002     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / diagnosis,  pathology,  surgery*
Blood Vessel Prosthesis Implantation*
Female
Hernia, Inguinal / diagnosis
Humans
Male
Middle Aged
Polytetrafluoroethylene / therapeutic use
Saphenous Vein*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

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


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