Dimitrios A Chatzelas, Ioanna I Kiose, Theodosia N Zampaka, Georgios V Tsamourlidis, Vasiliki-Elisavet P Stratinaki, Georgios A Pitoulias, Apostolos G Pitoulias
{"title":"Primary Basilic Vein Aneurysm: A Case Report and Literature Review.","authors":"Dimitrios A Chatzelas, Ioanna I Kiose, Theodosia N Zampaka, Georgios V Tsamourlidis, Vasiliki-Elisavet P Stratinaki, Georgios A Pitoulias, Apostolos G Pitoulias","doi":"10.5758/vsi.250074","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"27"},"PeriodicalIF":1.0000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457824/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vascular Specialist International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5758/vsi.250074","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
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Abstract
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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