腓静脉动脉瘤：一例报告
Aneurysm of the Fibular Vein: A Case Report.
作者信息
Saleh Samir Omar, Andrade Mauro Figueired Carvalho de, Cuadrado Guilherme de Arruda, Saleh Kassem Samir, Akamatsu Flávia Emi, Jacomo Alfredo Luiz
机构信息
Laboratory of Medical Research 02 (LIM 02), Department of Surgery, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Laboratory of Medical Research 02 (LIM 02), Department of Surgery, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
出版信息
Ann Vasc Surg. 2018 May;49:314.e1-314.e3. doi: 10.1016/j.avsg.2017.10.039. Epub 2018 Feb 23.
BACKGROUND
Aneurysms of the deep veins of the lower limbs are rare and often asymptomatic. Although natural history is unclear, these aneurysms have been associated with deep venous thrombosis and fatal pulmonary embolism events. To our knowledge, this case represents the fifth patient with isolated aneurysm of a calf vein described in the literature and the second one affecting the fibular vein.
METHODS
We report the case of a 20-year-old white man with an aneurysm of the fibular vein that we believe is the second case in the literature RESULTS: After evaluation and diagnosis, the aneurysm was resected with full recovery of the patient.
CONCLUSIONS
Treatment of this unusual condition seems to be mandatory for major thromboembolic events can be as high as 71% with 2 deaths, according to a review of 24 patients with popliteal vein aneurysms. Unlike proximal veins, where reconstruction is advisable, calf vein aneurysms can be safely managed by simple excision and ligature. In our patient, aneurysm resection eliminated symptoms, and good result was maintained in long follow-up.
背景
下肢深静脉动脉瘤罕见，且通常无症状。尽管其自然病程尚不清楚，但这些动脉瘤与深静脉血栓形成及致命性肺栓塞事件有关。据我们所知，该病例是文献中描述的第五例孤立性小腿静脉动脉瘤患者，也是第二例累及腓静脉的患者。
方法
我们报告了一名20岁白人男性患有腓静脉动脉瘤的病例，我们认为这是文献中的第二例。
结果
经过评估和诊断，切除了动脉瘤，患者完全康复。
结论
根据对24例腘静脉动脉瘤患者的回顾，这种不寻常疾病的治疗似乎是必要的，因为主要血栓栓塞事件的发生率可能高达71%，并有2例死亡。与建议进行重建的近端静脉不同，小腿静脉动脉瘤可通过简单切除和结扎安全处理。在我们的患者中，动脉瘤切除消除了症状，长期随访结果良好。
Zotero 插件