Escalante García Julio Alberto, Nava Mata Luis Eduardo, Villegas Amador Floricel Olimpia, Montoya Vázquez Alberto, García Romero Luis Donaldo
Surgery, Regional General Hospital 1 of the Mexican Social Security Institute, Querétaro, MEX.
Transplant and Donation, Regional General Hospital 1 of the Mexican Social Security Institute, Querétaro, MEX.
Cureus. 2025 May 20;17(5):e84494. doi: 10.7759/cureus.84494. eCollection 2025 May.
Popliteal vein aneurysms (PVAs) are uncommon yet clinically significant, often leading to severe complications, particularly in patients with chronic venous insufficiency (CVI). We report the case of a 37-year-old male with a prior history of saphenectomy who presented with a left malleolar ulcer. Following comprehensive clinical assessment and imaging studies, a diagnosis of CVI in the affected limb was established. Further diagnostic evaluation with Doppler ultrasound and computed tomography angiography (CTA) identified a PVA. Surgical intervention was planned, consisting of aneurysmectomy followed by venous bypass using an autologous intersaphenous vein graft. The postoperative course was uneventful, with preserved limb function, significant improvement in venous circulation, and no reported complications. This case highlights the importance of early diagnosis and timely surgical management in patients with PVAs, particularly in those with a history of CVI. Aneurysmectomy with autologous vein grafting emerges as a safe and effective therapeutic approach, demonstrating favorable postoperative outcomes.
腘静脉动脉瘤（PVA）虽不常见，但具有临床意义，常导致严重并发症，尤其是在患有慢性静脉功能不全（CVI）的患者中。我们报告一例37岁男性病例，该患者既往有大隐静脉切除术史，现因左踝部溃疡就诊。经过全面的临床评估和影像学检查，确诊患侧肢体存在CVI。通过多普勒超声和计算机断层血管造影（CTA）进一步诊断评估发现了一个PVA。计划进行手术干预，包括动脉瘤切除术，然后使用自体大隐静脉移植物进行静脉搭桥。术后过程顺利，肢体功能得以保留，静脉循环显著改善，且未报告有并发症。该病例突出了PVA患者早期诊断和及时手术治疗的重要性，尤其是有CVI病史的患者。自体静脉移植动脉瘤切除术是一种安全有效的治疗方法，术后效果良好。
