Abstract
The popliteal vein aneurysm (PVA) is a rare condition that is associated with an important risk of deep venous thrombosis (DVT) and pulmonary embolism (PE). Since anticoagulation alone does not prevent those complications surgery is advocated by most authors as the mainstay of treatment. We present 2 cases that illustrate the pleomorphic character of this disease – the first of which presented as an almost asymptomatic popliteal mass, the second as a DVT-like syndrome in a woman whose mother had died from PE of unknown cause. Both were subjected to aneurysmectomy and lateral venorraphy, with good clinical and radiological outcomes. We also present an updated discussion. PVA is a rare and little understood condition that entails PE as its most dreaded complication. Surgery is the treatment of choice. Aneurysmectomy with lateral venorraphy has demonstrated good results and can be considered curative. For those reasons PVA must be entertained when investigating popliteal masses or recurrent PE.
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