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Case Reports
. 2017 Nov 16:5:2050313X17741012.
doi: 10.1177/2050313X17741012. eCollection 2017.

Giant thrombosed saphenofemoral junction aneurysm: A case report

Vladimir Cojocari  1   2 , Vasile Culiuc  1   2 , Florin Bzovii  1   2 , Dumitru Casian  1   2 , Eugen Gutu  1   2
Affiliations
Case Reports

Giant thrombosed saphenofemoral junction aneurysm: A case report

Vladimir Cojocari et al. SAGE Open Med Case Rep. .

Abstract

Introduction: Although saphenofemoral junction aneurysms are not so rare, only scarce of the published cases reported thrombosis of the aneurysmal sac and saphenous trunk.

Presentation of case: A 65-year-old male with varicose disease, developed acute ascending superficial vein thrombosis of the left greater saphenous vein, involving the 6-cm saphenofemoral junction aneurysm. The patient underwent common femoral vein thrombectomy, aneurysm removal, and greater saphenous vein excision with uneventful postoperative course.

Conclusion: Thrombosed giant saphenofemoral junction aneurysms require emergent surgical intervention aimed at preventing potential progression to deep vein thrombosis and pulmonary embolism.

Keywords: Venous aneurysm; superficial vein thrombosis; surgery.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

Figures

Figure 1.
Figure 1.
Preoperative view of thrombosed saphenofemoral junction (SFJ) aneurysm: (a) supine and (b) upright.
Figure 2.
Figure 2.
Intraoperative view of saphenofemoral junction (SFJ) aneurysm: (a) rubber band control of common femoral vein (CFV), external iliac vein (EIV) and greater saphenous vein (GSV). (b) Resected 6-cm aneurysm specimen, with clot inside. (c) Microscopic view: intimal thickening/medial hypertrophy.
See this image and copyright information in PMC

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