Helsted M, Vilmann P, Jacobsen B, Christoffersen J K
Department of Vascular Surgery, Gentofte County Hospital, Hellerup, Denmark.
Eur J Vasc Surg. 1991 Jun;5(3):333-42. doi: 10.1016/s0950-821x(05)80518-3.
Popliteal venous aneurysms are rare and are most often found in patients with pulmonary embolism suggesting that such aneurysms are thrombogenic. Only 16 cases have been found in the past and only a few of these patients were without thrombus or pulmonary embolism. In this paper three patients are presented of whom two showed signs of thrombus. Surgical resection was performed to prevent thrombosis with a successful result. The literature is reviewed and according to this and our own experience surgical resection under cover of anti-coagulation is recommended. Our surgical technique is presented.
腘静脉动脉瘤较为罕见,最常见于患有肺栓塞的患者,这表明此类动脉瘤具有血栓形成倾向。过去仅发现16例,其中只有少数患者没有血栓或肺栓塞。本文介绍了3例患者,其中2例有血栓迹象。为预防血栓形成进行了手术切除,结果成功。本文回顾了相关文献,并根据文献及我们自己的经验,建议在抗凝保护下进行手术切除。我们还介绍了手术技术。