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Updated: May 22, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Management of symptomatic venous aneurysm
Roberto Gabrielli1, Maria Sofia Rosati, Andrea Siani
1Department of Vascular Surgery, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy. rogadoc@libero.it
Thescientificworldjournal
|May 9, 2012
Summary
Venous aneurysms (VAs) are rare but dangerous, potentially causing life-threatening pulmonary embolisms. Surgical treatment for deep venous aneurysms and symptomatic superficial ones is recommended to prevent these serious complications.
Area of Science:
- Vascular Surgery
- Cardiology
- Diagnostic Imaging
Background:
- Venous aneurysms (VAs) are uncommon but can lead to severe complications like pulmonary embolism.
- Thrombosis within VAs is a significant risk factor for embolic events.
Purpose of the Study:
- To report a series of patients with pulmonary emboli secondary to venous aneurysm thrombosis.
- To emphasize the importance of diagnostic evaluation and treatment strategies for venous aneurysms.
Main Methods:
- Retrospective review of twelve patients with acute pulmonary emboli.
- Evaluation included clinical presentation, duplex scan of lower limbs, and treatment outcomes.
- Surgical intervention versus anticoagulant therapy was assessed.
Main Results:
- All twelve patients experienced acute pulmonary emboli due to venous aneurysm thrombosis.
- Anticoagulant therapy alone was insufficient to prevent recurrent emboli.
- Surgical excision of venous aneurysms led to symptom improvement and prevention of further emboli.
Conclusions:
- Venous aneurysms require a tailored, case-by-case management approach.
- Immediate lower limb venous duplex scan is crucial in diagnosing the source of pulmonary embolism.
- Surgical treatment for deep venous aneurysms and symptomatic superficial VAs is effective in preventing pulmonary embolism.
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