Primary Venous Aneurysm Research Articles

Surgical Repair of Primary Saphenous Vein Aneurysm of the Proximal Leg after Initial Presentation as an Inguinal Hernia

Primary venous aneurysms of the proximal saphenous vein are uncommon. They are most frequently seen in patients referred for evaluation and treatment of an inguinal or femoral hernia. Since 1992 five patients with a proximal saphenous venous aneurysm were referred for evaluation and treatment of an inguinal or femoral hernia. Data from five consecutive patients treated for a proximal saphenous venous aneurysm were analyzed. Four of the five patients were treated successfully by replacing the proximal saphenous venous aneurysm with a 6-mm expanded polytetrafluoroethylene (IMPRA) interposition graft. All grafts were patent 2 years after the surgical procedure by Doppler examination. A primary aneurysm of the proximal saphenous vein can be successfully repaired using a polytetrafluoroethylene interposition graft with long-term patency. Preservation of the saphenous vein should be considered in patients who have a normal distal saphenous vein. Repair of a primary saphenous venous aneurysm preserves the saphenous vein for use as a conduit for later bypass surgery of the leg or heart.

Surgical Strategy for Primary Venous Aneurysms

Surgical Strategy for Primary Venous Aneurysms

Venous Aneurysm of the Upper Limb

Objective: To report a case of primary venous aneurysm arising in the antecubital fossa. Design: Case report. Setting: Department of General Surgery, Norfolk & Norwich Hospital, Norwich. Patient: Patient with clinical and radiological evidence of venous aneurysm. Interventions: Surgical repair. Main outcome measures: Avoidance of pulmonary embolism. Results: Satisfactory post-operative recovery. No complications or subsequent pulmonary embolus.

Femoral vein aneurysm: a case report and review of the literature

Primary venous aneurysms are rarely encountered lesions. Case reports have been described throughout the venous system. The lesions are usually symptom-free being found as a subcutaneous mass, an incidental finding on an imaging study, or during the work-up for deep venous thrombosis. However, embolism and rupture have been rarely described. A femoral vein aneurysm is reported, along with a current review of the literature of venous aneurysms.

Femoral Vein Aneurysm: A Case Report and Review of the Literature

Primary venous aneurysms are rarely encountered lesions. Case reports have been described throughout the venous system. The lesions are usually symptom-free being found as a subcutaneous mass, an incidental finding on an imaging study, or during the work-up for deep venous thrombosis. However, embolism and rupture have been rarely described. A femoral vein aneurysm is reported, along with a current review of the literature of venous aneurysms.

VENOUS ANEURYSM ARISING IN THE LEFT LESSER SAPHENOUS VEIN-SURGICAL CASE REPORT

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.

Popliteal Venous Aneurysm: Unusual Source of Pulmonary Embolism.

Popliteal vein aneurysm is a rare cause of pulmonary embolism. We present the case of a 39-year-old man with multiple pulmonary emboli. Subsequent investigation revealed a saccular aneurysm of the right popliteal vein containing large clots. The presence of fresh thrombus was confirmed at surgery which consisted in excision of the saccular aneurysm with vein patch closure. Primary popliteal venous aneurysms are probably congenital in origin. Phlebography is diagnostic. Surgery is recommended.

Primary Venous Aneurysms of the Popliteal Fossa

Objective: To report five cases of primary venous aneurysm arising in the popliteal fossa. Setting: Unite de Pathologie Vasculaire Jean Kunlin, Clinique du Grand-Large, av. Leon-Blum, Decines Charpieu, France. Patients: Five patients with radiological evidence of venous aneurysm in the popliteal fossa. Interventions: Surgical repair in all cases. Main outcome measures: Avoidance of pulmonary embolism. Results: Satisfactory postoperative recovery in all. No complications or subsequent pulmonary emboli.

Primary Venous Aneurysm—Case Reports

Venous aneurysm (VA) is a rare vascular lesion. The authors have experi enced 2 cases of VA: a seventy-year-old woman who had a 4 x 4 cm VA at the elbow and a forty-five-year-old woman who had a 1.5 x 1 cm VA in the long saphenous vein. In the second case, intraaneurysmal observation was per formed by angioendoscopy during surgery. Histologic examination of the re sected lesion proved that the basic structure of the venous wall was preserved in both cases, although a marked reduction in each component of wall was ob served. The authors reviewed the reported cases of VA and classified them into type I VA (cystic ectasia) and type II VA (fusiform ectasia). Type I VA is predominant in extremities and internal organs, while type II VA predominates in the cervical region. Their analysis of the reported cases indicated that although VA and varicose veins are both venous ectasias, VA is distinguishable from varicose veins by the following features: no sex difference, occurrence even in children, occurrence anywhere in the body, occurrence as a single lesion, and lack of prolongation of the vein.

Primary lesser saphenous vein aneurysm in a child

True primary venous aneurysms are rare. This is the first report of such an aneurysm involving the lesser saphenous vein. Though most often a medical curiosity, such lesions can result in serious morbidity and even mortality. Because of their rarity they are often misdiagnosed. Salient features pertaining to classification, diagnosis, and treatment are reviewed.

Primary venous aneurysm of the forearm in a child

A 5 year old girl who presented with two bluish, cystic masses in her right forearm was shown on ultrasonography to have two localized saccular dilatations of the right radial vein. This led to the suspicion of venous aneurysms which was later confirmed by venography. They were finally excised because of the gradual increase in size and pain she had experienced over the previous two months.

Primary popliteal venous aneurysm with recurrent pulmonary emboli

Primary venous aneurysms are infrequently noted and rarely have clinical significance. An important exception, however, is an aneurysm of the popliteal vein that is known to be a source for pulmonary emboli. We present the case of a previously healthy 57-year-old man with recurrent episodes of occult pulmonary embolism. Initial diagnostic investigations were compatible with multiple pulmonary emboli, but no source was identified. Subsequently, an indium 111-labeled platelet scan confirmed a site of active thrombus formation in the right lower extremity above the knee. Magnetic resonance imaging defined a saccular aneurysm of the popliteal vein, which was confirmed by contrast venography. Thereafter, the patient had resection of the venous aneurysm and tangential venorrhaphy. After operation duplex scanning confirmed patency of the venous repair. This is the eleventh report in the English-language literature of pulmonary emboli suspected of having originated from a popliteal venous aneurysm.

Primary popliteal venous aneurysm with recurrent pulmonary emboli

Primary venous aneurysms are infrequently noted and rarely have clinical significance. An important exception, however, is an aneurysm of the popliteal vein that is known to be a source for pulmonary emboli. We present the case of a previously healthy 57-year-old man with recurrent episodes of occult pulmonary embolism. Initial diagnostic investigations were compatible with multiple pulmonary emboli, but no source was identified. Subsequently, an indium 111-labeled platelet scan confirmed a site of active thrombus formation in the right lower extremity above the knee. Magnetic resonance imaging defined a saccular aneurysm of the popliteal vein, which was confirmed by contrast venography. Thereafter, the patient had resection of the venous aneurysm and tangential venorrhaphy. After operation duplex scanning confirmed patency of the venous repair. This is the eleventh report in the English-language literature of pulmonary emboli suspected of having originated from a popliteal venous aneurysm.

The So-Called Primary Venous Aneurysms

The authors have observed numerous venous aneurysms among patients in Sardinia. In the past 3 years 30 venous aneurysms have been diagnosed and treated. In seven cases the aneurysms were undoubtedly primary; owing to their position in the very low pressure system of the superior vena cava and because trauma, arteriovenous fistulas and cardiac or thoracic malformations were completely excluded. After surgical excision the aneurysms were studied by histological and immunohistochemical methods. Antisera to desmin and to alfa-actin demonstrated significant depletion of smooth muscle cells in the wall of the aneurysm.