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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Presentation of a true aneurysm of the left antecubital vein

Garip Altintas1, Anil Ozen, Adem Diken

  • 1Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Egitim Arastirma Hastanesi, Sihhiye, Ankara, Turkey.

Annals of Vascular Surgery
|May 18, 2010
PubMed

Insights

This case study details a 62-year-old man with a 27-year history of a left antecubital vein aneurysm. Surgical excision provided symptom relief, highlighting surgery as a viable treatment for symptomatic venous aneurysms.

Area of Science:

  • Vascular Surgery
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Venous aneurysms are localized dilations of veins, commonly affecting extremities.
  • While often asymptomatic, they can cause discomfort, swelling, and paresthesia.

Observation:

  • A 62-year-old male presented with a 27-year history of left antecubital fossa swelling, pain, and paresthesia.
  • Physical examination revealed a soft, nonpulsatile mass.
  • Duplex ultrasound confirmed a 4 x 3 x 3 cm aneurysm of the left antecubital vein.

Findings:

  • The patient had a history of recurrent nephrolithotomies.
  • Surgical dissection and excision of the antecubital vein aneurysm were performed.
  • The patient experienced symptom relief and was discharged postoperatively.

Implications:

  • Surgical intervention is indicated for symptomatic venous aneurysms causing discomfort, swelling, or neurological symptoms.
  • Early diagnosis and treatment can improve patient outcomes and quality of life.
  • This case contributes to understanding the management of upper extremity venous aneurysms.

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