Gabrielli Roberto, Vitale Silvio, Costanzo Alessandro, Carra Alessandro
Department of Vascular Surgery, Policlinico Casilino of Rome, Rome, Italy.
Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):835-7. doi: 10.1510/icvts.2010.248823. Epub 2010 Sep 29.
Popliteal venous aneurysms (PVA) are rare and in most cases the first sign of their presence is a pulmonary embolus or other thromboembolic events. We report four cases of PVA, in two of these the first sign of their presence was an acute pulmonary embolism; in two remaining cases the diagnosis was fortuitous. Accurate evaluation of venous system of lower limb by duplex scan is important in all cases of pulmonary embolism, the anticoagulation may be ineffective in preventing pulmonary embolism and the surgical repair is the mainstay of therapy of this pathology because it is safe and effective.
腘静脉动脉瘤(PVA)较为罕见,多数情况下,其出现的首个迹象是肺栓塞或其他血栓栓塞事件。我们报告了4例PVA,其中2例出现的首个迹象是急性肺栓塞;其余2例诊断则是偶然发现。对于所有肺栓塞病例,通过双功超声扫描准确评估下肢静脉系统很重要,抗凝治疗可能无法有效预防肺栓塞,手术修复是这种病症治疗的主要手段,因为它安全有效。