Chen Steve I, Clouse W Darrin, Bowser Andrew N, Rasmussen Todd E
Division of Vascular and Endovascular Surgery, Wilford Hall USAF Medical Center/San Antonio Military Medical Center, San Antonio, TX 78236, USA.
J Vasc Surg. 2009 Sep;50(3):644-7. doi: 10.1016/j.jvs.2009.04.025.
Historically, superficial venous aneurysms of the lower extremities are considered rare. However, owing to the increased use of duplex ultrasound imaging, these entities are being recognized more frequently. The clinical significance of superficial aneurysms is poorly defined; yet, pulmonary emboli arising from superficial aneurysms have been reported. Symptomatic patients typically complain of the sequelae of reflux, such as edema, pain, mass, and varicosities. Current treatment consists of simple open excision. We report two cases of small saphenous vein aneurysm and provide review of its pathophysiology, presentation, diagnostic evaluation, and therapy.
从历史上看,下肢浅表静脉动脉瘤被认为很罕见。然而,由于双功超声成像的使用增加,这些病变正被更频繁地识别出来。浅表动脉瘤的临床意义尚不明确;不过,已有报道称浅表动脉瘤会引发肺栓塞。有症状的患者通常会抱怨反流的后遗症,如水肿、疼痛、肿块和静脉曲张。目前的治疗方法是简单的开放切除术。我们报告两例小隐静脉动脉瘤病例,并对其病理生理学、表现、诊断评估和治疗进行综述。