Abstract

Primary venous aneurysms are infrequently noted. We present a case of a venous aneurysm arising in the lesser saphenous vein. A previously healthy 76-year-old woman was seen at the hospital because of a soft mass at the left popliteal fossa. On the ultrasonography and ascending venography, the mass was diagnosed as venous aneurysm (saccular type) at the left lesser saphenous vein. The mass was saccessfully resected and vascular reconstruction by the end to end anastmosis between the inflow and outflow veins was done. Since venous aneurysm can cause thromboembolism, aggressive resection is recommended. Vascular reconstruction without vascular prosthesis is an ideal procedure to prevent the venous congestion.

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