Ghanem Ahmed Mohamed Taher, Sami Mohamed, Heshmat Ahmed
Department of Vascular Surgery, Nasser Institute for Research and Treatment, Cairo, Egypt.
Vasc Specialist Int. 2019 Mar;35(1):44-47. doi: 10.5758/vsi.2019.35.1.44.
Popliteal vein aneurysms (PVAs) represent a rare form of venous aneurysms and necessitate prompt management because of their well-established risk of pulmonary embolism (PE). Herein, we report a rare case of PVA without PE, successfully treated with open surgical repair. A 27-year-old man presented to our vascular clinic with chronic pain and swelling in his left lower limb. He had a long history of facial surgeries for the removal of congenital multiple osteomas. Physical examination revealed varicosities with an abnormal distribution. Duplex ultrasound showed a left PVA measuring 2.3 cm in diameter and 4 cm in length. Open surgical excision of the PVA with lateral venorrhaphy was performed through a medial approach. Prophylactic anticoagulation was performed postoperatively. In this case, the PVA was detected, with a high degree of suspicion by the clinician, before it caused fatal PE. The patient was successfully treated with aneurysm excision and lateral venorrhaphy.
腘静脉动脉瘤（PVA）是一种罕见的静脉动脉瘤形式，由于其发生肺栓塞（PE）的风险已明确，因此需要及时处理。在此，我们报告一例罕见的无PE的PVA病例，通过开放手术修复成功治疗。一名27岁男性因左下肢慢性疼痛和肿胀就诊于我们的血管诊所。他有因切除先天性多发性骨瘤而进行面部手术的长期病史。体格检查发现静脉曲张分布异常。双功超声显示左腘静脉动脉瘤直径2.3 cm，长度4 cm。通过内侧入路对腘静脉动脉瘤进行开放手术切除并横向缝合静脉。术后进行预防性抗凝。在本病例中，临床医生在腘静脉动脉瘤导致致命性肺栓塞之前就高度怀疑并检测到了它。患者通过动脉瘤切除和横向缝合静脉成功治愈。
