Ekim Hasan, Kutay Veysel, Tuncer Mustafa, Gultekin Unal
Department of Cardiovascular Surgery, Yuzuncu Yil University, Van, Turkey.
Saudi Med J. 2004 Mar;25(3):303-7.
Venous aneurysms are a relatively rare abnormality. Unlike arterial aneurysms, venous aneurysms are a much less frequent abnormality. The purpose of our study was to review our experience in the management of venous aneurysms.
Nine patients with venous aneurysms, who had undergone operation in the Department of Cardiovascular Surgery, Yuzuncu Yil University Medical School, Van, Turkey, during the period September 1997 through to May 2003, were included in this study. There were 5 female and 4 male patients, ranging in age from 16-47-years with a mean age of 31 +/- 7 years. They were diagnosed by color flow duplex imaging. Eight patients had saccular aneurysm; the remaining one patient with basilar vein aneurysm, had fusiform aneurysm.
Aneurysms were located the lower extremities in 4 cases, the upper extremity in 4, and external jugular vein in one. Aneurysms size ranged from 2, 3 to 5, 5 cm (mean 3, 6 cm). There were no symptoms in 2 patients (cephalic vein aneurysm in one patient, short saphenous vein aneurysm in one). These patients were operated on for cosmetic purposes. Six patients complained of pain associated with a subcutaneous swelling. The remaining one patient with popliteal vein aneurysm complained of extremity pain, associated with deep venous thrombosis. All patients underwent surgery under local anesthesia. In 7 patients, aneurysms were resected and venous continuity with a graft was found unnecessary. End to end anastomosis was performed in 2 patients (popliteal vein aneurysm in one and axillary vein aneurysm in one). During follow up period, there were no recurrences.
Venous aneurysms may cause thrombophlebitis, thrombus formation, pulmonary embolism and theoretical complication of spontaneous rupture. Varicose veins, hemangiomas, lymphocele, hernias, hygromas, arteriovenous fistulas and similar subcutaneous swellings located subcutaneous venous spaces should be considered in the differential diagnosis. Consequently, we suggest that surgical treatment be performed to prevent subsequent complications in all cases.
静脉瘤是一种相对罕见的异常情况。与动脉瘤不同，静脉瘤是一种不太常见的异常。我们研究的目的是回顾我们在静脉瘤治疗方面的经验。
本研究纳入了1997年9月至2003年5月期间在土耳其凡城尤祖恩居尔医科大学心血管外科接受手术的9例静脉瘤患者。其中女性5例，男性4例，年龄在16至47岁之间，平均年龄为31±7岁。他们通过彩色血流双功成像进行诊断。8例患者为囊状动脉瘤；其余1例基底静脉瘤患者为梭形动脉瘤。
4例动脉瘤位于下肢，4例位于上肢，1例位于颈外静脉。动脉瘤大小在2.3至5.5厘米之间（平均3.6厘米）。2例患者无症状（1例头静脉瘤，1例小隐静脉瘤）。这些患者因美容目的接受手术。6例患者主诉与皮下肿胀相关的疼痛。其余1例腘静脉瘤患者主诉肢体疼痛，伴有深静脉血栓形成。所有患者均在局部麻醉下接受手术。7例患者切除了动脉瘤，发现无需用移植物维持静脉连续性。2例患者（1例腘静脉瘤和1例腋静脉瘤）进行了端端吻合。在随访期间，无复发情况。
静脉瘤可能导致血栓性静脉炎、血栓形成、肺栓塞以及自发性破裂的理论并发症。鉴别诊断时应考虑静脉曲张、血管瘤、淋巴囊肿、疝、水瘤、动静脉瘘以及位于皮下静脉间隙的类似皮下肿胀。因此，我们建议对所有病例进行手术治疗以预防后续并发症。
