A case of symptomatic popliteal vein aneurysm

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COD: 2846_20_04_2018_EP Categorie: , ,

Roberta Garbuglio, Davide Turchino, Anna Maria Giribono, Luca del Guercio,
Umberto Marcello Bracale

Ann Ital Chir, Digital Edition 2018, 7
Epub, April 20

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We describe a case of a 44 year-old man with a subcutaneous swelling in the left popliteal fossa. The patient complained pain
posteriorly to the left knee since several months and presented with a saccular aneurysm of the left popliteal vein (PVA) with
reflux clearly evidenced at duplex ultrasound scan (DUS), but in absence of thrombus inside and without clinical signs of
embolism. The patient was treated surgically by aneurysmectomy with lateral venorrhaphy according to Aldridge technique and
a duplex ultrasound scan after six months revealed a complete patency of the left popliteal vein. According to literature evidences
and our center experience, the surgical treatment of the popliteal vein aneurysm represents the gold standard in order to prevent
the possible complications like development of thrombus inside the aneurysmatic vein and the consequent embolic risk and it is
recommended in all case of a symptomatic saccular type of whatever diameter, and in fusiform type >20 mm, with or without
thrombus.

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