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Management of primary venous aneurysms.
Hasan Ekim1, Veysel Kutay, Mustafa Tuncer
1Department of Cardiovascular Surgery, Yuzuncu Yil University, Van, Turkey. drhasanekim@yahoo.com
Saudi Medical Journal
|March 30, 2004
Summary
Surgical management of venous aneurysms is effective in preventing complications like thrombosis and embolism. This study reviewed nine cases, finding no recurrences after resection or anastomosis, supporting surgical intervention for all venous aneurysms.
Area of Science:
- Vascular Surgery
- Vascular Medicine
- Diagnostic Imaging
Background:
- Venous aneurysms are rare vascular abnormalities, distinct from arterial aneurysms.
- Their diagnosis and management are less frequently reported in medical literature.
- Understanding their clinical presentation and treatment outcomes is crucial.
Purpose of the Study:
- To review the clinical experience in managing venous aneurysms.
- To evaluate the effectiveness of surgical interventions for venous aneurysms.
- To highlight the importance of timely diagnosis and treatment.
Main Methods:
- A retrospective review of nine patients with venous aneurysms treated between 1997 and 2003.
- Diagnosis was confirmed using color flow duplex imaging.
- Surgical management included aneurysm resection or end-to-end anastomosis under local anesthesia.
Main Results:
- Aneurysms were located in the extremities and the external jugular vein, with sizes ranging from 2.3 to 5.5 cm.
- Patients presented with cosmetic concerns, pain, swelling, or deep venous thrombosis.
- All nine patients underwent successful surgery with no reported recurrences during follow-up.
Conclusions:
- Venous aneurysms pose risks including thrombophlebitis, embolism, and rupture.
- Differential diagnosis should include various subcutaneous swellings.
- Surgical treatment is recommended for all venous aneurysms to prevent potential complications.