Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japan.
Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):142-144. doi: 10.1093/icvts/ivab040.
Adventitial cystic disease of the femoral vein is an extremely rare condition; therefore, diagnosis, treatments, surgical approaches and long-term prognosis are not well defined. We report the case of a 67-year-old man with femoral vein adventitial cystic disease complicated with deep vein thrombosis. He presented with right leg oedema. Ultrasound, computed tomography and magnetic resonance imaging revealed a mass in the femoral vein, and deep vein thrombosis was not detected at the time. However, venous return disorder worsened due to the mass causing a deep vein thrombosis in the femoral vein, and anticoagulation therapy with edoxaban was administered. Subsequently, deep vein thrombosis in the femoral vein disappeared, but remained in the lower calf. The mass and femoral vein were completely resected and reconstructed with an expanded polytetrafluoroethylene graft. No recurrence was observed over 3 years and 3 months.
股静脉壁层囊性疾病极其罕见；因此，其诊断、治疗、手术方法和长期预后尚不清楚。我们报告了 1 例 67 岁男性股静脉壁层囊性疾病合并深静脉血栓形成的病例。患者表现为右下肢水肿。超声、计算机断层扫描和磁共振成像显示股静脉内有一肿块，当时并未发现深静脉血栓形成。然而，由于肿块导致股静脉深静脉血栓形成，静脉回流障碍加重，给予依度沙班抗凝治疗。随后，股静脉内的深静脉血栓形成消失，但仍存在于小腿下部。采用膨化聚四氟乙烯移植物完全切除并重建肿块和股静脉。3 年 3 个月后未见复发。
