Norimatsu Togo, Aramoto Haruo
Department of Vascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Ann Vasc Dis. 2015;8(1):56-8. doi: 10.3400/avd.cr.14-00111. Epub 2015 Mar 25.
Poplitealvenous aneurysms (PVA) are associated with deep venous thrombosis and recurrentpulmonary thromboembolism (PE). We report three cases of PVA. In all three patients the first sign of PVA was acute PE; in one case, the PE was recurrent. Computed tomography and duplex ultrasonography revealed not only PE but also popliteal venous dilatation with thrombus. Surgical reconstruction was performed in each case after treatment for PE. No postoperative complications occurred, including recurrent PE. Surgical repair of PVA is safe and is a recommended treatment.
腘静脉动脉瘤(PVA)与深静脉血栓形成及复发性肺血栓栓塞(PE)相关。我们报告3例PVA。在所有3例患者中,PVA的首发症状均为急性PE;1例患者的PE为复发性。计算机断层扫描和双功超声检查不仅发现了PE,还发现了伴有血栓的腘静脉扩张。在对PE进行治疗后,每例患者均接受了手术重建。未发生包括复发性PE在内的术后并发症。PVA的手术修复是安全的,是一种推荐的治疗方法。