少见的腘静脉动脉瘤1例

M. Dumantepe , I.A. Tarhan , A. Ozler , I. Yurdakul
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引用次数: 0

摘要

目的腘静脉动脉瘤是一种罕见但可能致命的异常,因为它可以引起肺栓塞。在此,我们报告一例右腘窝的腘静脉动脉瘤。方法32岁健康男性,主诉右侧腘窝局部肿胀疼痛,经双超声及血管计算机断层扫描示巨大腘静脉动脉瘤。手术探查腘窝,部分切除动脉瘤,经后路缝合。结果患者恢复平稳,无明显症状。随访1、6、12、15个月腘静脉通畅,无血栓改变。此外,在后续超声检查中未观察到手术静脉段扩张。结论腘静脉动脉瘤的手术修复是安全的。部分动脉瘤切除并外侧静脉缝合是首选。由于肺血栓栓塞并发症的风险,我们建议在早期手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Rare Case of Popliteal Venous Aneurysm

Objective

Popliteal venous aneurysms are uncommon but potentially fatal abnormalities, since they can cause pulmonary emboli. Here, we report a case of a popliteal venous aneurysm of the right popliteal fossa.

Method

In a 32-year-old healthy male complaining of a localised swelling and pain in his right popliteal fossa, duplex ultrasonography and angio-computed tomography revealed a giant popliteal vein aneurysm. The popliteal fossa was surgically explored and aneurysm was resected partially and sutured through posterior approach.

Results

Recovery was uneventful and patient still remains asymptomatic. Further duplex ultrasonography follow-ups revealed patency of popliteal vein without thrombotic changes in 1st, 6th, 12th and 15th months. Additionally, no dilatation of the operated vein segment has been observed in the follow-up ultrasound studies.

Conclusion

Surgical repair of popliteal venous aneurysms can be performed safely. Partial aneurysm resection together with lateral venorrhaphy is preferred. Due to pulmonary thrombo-embolic complication risks, we recommend surgery in early stages.

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