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开放性双侧股总静脉和腘静脉动脉瘤修复术。

Open bilateral common femoral and popliteal vein aneurysm repair.

作者信息

Wininger Austin E, Zubair M Mujeeb, Gomez Luis F, Vowels Travis J, Peden Eric K

机构信息

Department of Cardiovascular Surgery, Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Tex.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Aug 21;6(4):580-584. doi: 10.1016/j.jvscit.2020.07.016. eCollection 2020 Dec.

Abstract

Although venous aneurysms are rare, typically asymptomatic, and most commonly found incidentally on imaging studies, patients with this pathology can develop pulmonary emboli owing to these aneurysms acting as a nidus for thrombus formation. There is no clear consensus regarding conservative management with anticoagulation vs operative intervention as the best treatment of deep venous aneurysms. We report the clinical course and surgical treatment of a patient presenting with both bilateral common femoral vein and bilateral popliteal venous aneurysms who had a known history of prior symptomatic pulmonary emboli.

摘要

尽管静脉瘤罕见,通常无症状,且最常见于影像学检查时偶然发现,但患有这种病变的患者可能会因这些静脉瘤成为血栓形成的病灶而发生肺栓塞。对于抗凝保守治疗与手术干预作为深静脉瘤的最佳治疗方法,目前尚无明确共识。我们报告了一名双侧股总静脉和双侧腘静脉均有静脉瘤且有既往症状性肺栓塞病史患者的临床病程及手术治疗情况。

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