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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Popliteal vein aneurysm presenting as a popliteal mass
Luis J Herrera1, John W Davis, James J Livesay
1Department of Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
Abstract:
Unlike most primary venous aneurysms, popliteal venous aneurysms can have devastating consequences, including pulmonary embolism and death. We present a case of popliteal venous aneurysm in a 27-year-old man who had local extremity symptoms and no thromboembolic complications. The fusiform 6- x 3-cm aneurysm was repaired surgically with an open tangential aneurysmectomy and lateral vein reconstruction. Surgical repair of popliteal venous aneurysm is associated with high patency rates and a low incidence of postoperative embolism. Because these aneurysms present a significant risk of pulmonary embolism and death if left untreated, we recommend early surgical repair of both symptomatic and asymptomatic popliteal venous aneurysms whenever possible.
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