A Popliteal Vein Aneurysm Causing Pulmonary Embolism.
- Author:
Seok Gi HONG
1
;
Moo Hyung SONG
;
Gi Young SUNG
;
Do Sang LEE
;
Wook KIM
;
Il Young PARK
;
Jong Man WON
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Holy Family Hospital, Seoul, Korea. mhsong@hfh.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Popliteal vein aneurysm;
Pulmonary embolism;
Lateral venorrhaphy
- MeSH:
Aged;
Aneurysm*;
Chest Pain;
Dyspnea;
Female;
Humans;
Lower Extremity;
Lung;
Magnetic Resonance Imaging;
Phlebography;
Popliteal Vein*;
Pulmonary Embolism*;
Thromboembolism;
Tomography, X-Ray Computed;
Veins
- From:Journal of the Korean Surgical Society
2001;61(6):629-632
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Popliteal vein aneurysm is a very uncommon and rarely reported although potentially life-threatening disease because it can be a source of pulmonary embolism. A patient with recurrent pulmonary embolism must be checked for lower extremity venous abnormalities. Recently, newer techniques including duplex scanning, computerized tomography and magnetic resonance imaging are useful in detecting popliteal fossa venous abnormalities. However, venography is also mandatory before operating on a popliteal vein aneurysm. Several methods are useful for the surgical treatment of popliteal vein aneurysms, including aneurysmectomy with lateral venorrhaphy, aneurysmectomy with vein transposition, aneurysmectomy with vein patch, etc. Following surgery, anticoagulation therapy is widely accepted. Here in, we present a case of popliteal vein aneurysm with pulmonary embolism. This patient was a 67-year-old woman exhibiting chest pain and exertional dyspnea. Lung scan and chest CT revealed multiple pulmonary embolisms and lower extremity venography revealed a right popliteal vein aneurysm with thromboembolism. This patient underwent aneurysmectomy with lateral venorrhaphy.
