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. 2012:2012:386478.
doi: 10.1100/2012/386478. Epub 2012 Apr 1.

Management of symptomatic venous aneurysm

Roberto Gabrielli  1 , Maria Sofia Rosati, Andrea Siani, Luigi Irace
Affiliations

Management of symptomatic venous aneurysm

Roberto Gabrielli et al. ScientificWorldJournal. 2012.

Abstract

Venous aneurysms (VAs) have been described in quite of all the major veins. They represent uncommon events but often life-threatening because of pulmonary or paradoxical embolism. We describe our twelve patients' series with acute pulmonary emboli due to venous aneurysm thrombosis. Our experience underlines the importance of a multilevel case-by-case approach and the immediate venous lower limbs duplex scan evaluation in pulmonary embolism events. Our data confirm that anticoagulant alone is not effective in preventing pulmonary embolism. We believe that all the VAs of the deep venous system of the extremities should be treated with surgery as well as symptomatic superficial venous aneurysm. A simple excision can significantly improve symptoms and prevent pulmonary embolism.

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Figures

Figure 1
Figure 1
Intraoperative image shows a big popliteal vein aneurysm.
Figure 2
Figure 2
Intraoperative image shows the excision of cephalic vein aneurysm.
Figure 3
Figure 3
Small Saphenous vein aneurysm excised.
Figure 4
Figure 4
MR scan shows the small Saphenous vein aneurysm.
Figure 5
Figure 5
The US scan shows the great Saphenous vein aneurysm in communication with the femoral vein.
Figure 6
Figure 6
Intraoperative image showing tangential aneurysmectomy and lateral venorrhaphy.
See this image and copyright information in PMC

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