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Published on: September 25, 2009
Primary Basilic Vein Aneurysm: A Case Report and Literature Review
Dimitrios A Chatzelas1, Ioanna I Kiose1, Theodosia N Zampaka1
1Division of Vascular Surgery, 2nd Department of Surgery, "G. Gennimatas" General Hospital of Thessaloniki, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
None:
Basilic vein aneurysms (BVAs) are extremely rare vascular entities, with fewer than 50 cases reported to date. They typically present as soft, compressible, and painless soft-tissue masses. We present a case of a 55-year-old man with a primary symptomatic BVA of the non-dominant forearm, complicated by previous sac thrombosis. Duplex ultrasonography confirmed a fusiform aneurysm measuring 18×15 mm with intraluminal thrombus and partial recanalization. Surgical excision under local anesthesia was performed successfully, without postoperative complications or disruption of the upper-extremity superficial venous outflow. The pathological report confirmed the diagnosis of a true degenerative venous aneurysm. A comprehensive literature review was conducted to summarize current knowledge on the pathogenesis, clinical features, differential diagnosis, imaging modalities, and treatment strategies of BVA.
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