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Popliteal venous aneurysm with pulmonary embolism
Y Seino1, H Fujimori, S Shimai
1First Department of Medicine (Division of ICU), Nippon Medical School, Tokyo.
Internal Medicine (Tokyo, Japan)
|December 1, 1994
Summary
A rare case of popliteal venous aneurysm caused multiple pulmonary embolisms. Surgical excision and anticoagulation successfully treated the condition, allowing for a healthy pregnancy later.
Area of Science:
- Vascular Surgery
- Cardiology
- Radiology
Background:
- Pulmonary embolism (PE) is a serious condition often originating from deep vein thrombosis.
- Popliteal venous aneurysms are uncommon but can be a source of thromboembolism.
Observation:
- A 29-year-old female presented with dyspnea, chest pain, and palpitations.
- Imaging revealed multiple pulmonary embolisms and a right popliteal venous aneurysm.
Findings:
- Preoperative evaluation utilized B-mode/Doppler echography and magnetic resonance imaging.
- Treatment involved anticoagulation, thrombolysis (heparin and urokinase), and surgical excision of the aneurysm.
- The excised aneurysm contained organized thrombus.
Implications:
- This case highlights the importance of investigating peripheral venous sources for pulmonary embolism.
- Successful management of popliteal venous aneurysms can prevent recurrent embolism.
- The patient had a subsequent uncomplicated pregnancy, demonstrating long-term positive outcomes.