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Sapheno-Femoral Junction Aneurysm: Single Centre Experience With Technical Notes and Histological Analysis
Matteo Bucalossi1,2,3, Alberto Caggiati4, Simone Carotti4
1The Compression Therapy Study Group (CTG), Florence, Italy.
Vascular and Endovascular Surgery
|April 14, 2025
Summary
Superficial venous aneurysms at the sapheno-femoral junction (SFJ) are rare vascular conditions. Surgical excision offers a safe and effective treatment with minimal complications and no recurrence.
Area of Science:
- Vascular Surgery
- Vascular Medicine
- Vascular Biology
Background:
- Venous aneurysms, particularly in lower limbs, are underreported vascular conditions.
- Superficial venous aneurysms at the sapheno-femoral junction (SFJ) are rare and often misdiagnosed.
Purpose of the Study:
- To evaluate the clinical presentation, diagnosis, and surgical management of superficial venous aneurysms at the SFJ.
- To assess the outcomes and recurrence rates following surgical excision.
Main Methods:
- Eleven patients with SFJ venous aneurysms underwent surgical excision.
- Diagnosis was confirmed via clinical examination and duplex ultrasound.
- Follow-up assessments were conducted for up to 5 years post-surgery.
Main Results:
- All eleven patients had successful surgical excision with no major complications.
- Patients ambulated immediately post-surgery, with no inguinal recurrences at 5 years.
- Histopathology showed wall thinning and changes in connective tissue composition.
Conclusions:
- Superficial venous aneurysms at the SFJ are rare but effectively managed by surgical excision.
- Accurate diagnosis and timely intervention minimize complication risks.
- Increased awareness and classification are crucial for clinical practice.
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