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[Popliteal venous aneurysms].

J M Cormier1, F Cormier, A al Ayoubi

  • 1Clinique de la Défense 16, Nanterre.

Journal Des Maladies Vasculaires
|April 7, 1999
PubMed
Summary
This summary is machine-generated.

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Popliteal venous aneurysms are rare but can lead to pulmonary embolism. Early diagnosis via Doppler ultrasonography and surgical repair ensures venous patency and prevents recurrent embolism.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Vascular Medicine

Background:

  • Popliteal venous aneurysms are uncommon vascular anomalies.
  • Pulmonary embolism is a significant complication, often the presenting symptom.
  • Distinguishing aneurysms from venous ectasia is crucial for management.

Purpose of the Study:

  • To investigate the nosology and therapeutic indications of popliteal venous aneurysms.
  • To analyze a series of operated cases alongside literature review.
  • To highlight diagnostic and management strategies.

Main Methods:

  • Literature review of 101 reported cases.
  • Analysis of 11 operated cases from the authors' series.
  • Diagnosis primarily by ultrasonography.

Related Experiment Videos

  • Surgical repair techniques including endoaneurysmal sutures, vein interposition, and PTFE grafts.
  • Main Results:

    • The series included dystrophic aneurysms and locoregional angiodysplasia.
    • Two cases of pulmonary embolism occurred.
    • Sacciform aneurysms were more common (10 cases) than fusiform (1 case).
    • All surgical repairs achieved venous permeability with no recurrent embolism.

    Conclusions:

    • Popliteal venous aneurysms require distinction from dystrophic ectasia.
    • Pulmonary embolism is a common presenting complication.
    • Doppler ultrasonography enables early diagnosis.
    • Surgical repair, particularly endoaneurysmorrhaphy, is effective for cure and prevention of embolism.