Chatzelas Dimitrios A, Kiose Ioanna I, Zampaka Theodosia N, Tsamourlidis Georgios V, Stratinaki Vasiliki-Elisavet P, Pitoulias Georgios A, Pitoulias Apostolos G
Division of Vascular Surgery, 2nd Department of Surgery, "G. Gennimatas" General Hospital of Thessaloniki, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Vascular and Endovascular Surgery, St. Bernward Hospital, Hildesheim, Germany.
Vasc Specialist Int. 2025 Sep 24;41:27. doi: 10.5758/vsi.250074.
Basilic vein aneurysms (BVAs) are extremely rare vascular entities, with fewer than 50 cases reported to date. They typically present as soft, compressible, and painless soft-tissue masses. We present a case of a 55-year-old man with a primary symptomatic BVA of the non-dominant forearm, complicated by previous sac thrombosis. Duplex ultrasonography confirmed a fusiform aneurysm measuring 18×15 mm with intraluminal thrombus and partial recanalization. Surgical excision under local anesthesia was performed successfully, without postoperative complications or disruption of the upper-extremity superficial venous outflow. The pathological report confirmed the diagnosis of a true degenerative venous aneurysm. A comprehensive literature review was conducted to summarize current knowledge on the pathogenesis, clinical features, differential diagnosis, imaging modalities, and treatment strategies of BVA.
贵要静脉动脉瘤（BVAs）是极为罕见的血管病变，迄今为止报道的病例不足50例。它们通常表现为柔软、可压缩且无痛的软组织肿块。我们报告一例55岁男性，其非优势前臂出现原发性有症状的贵要静脉动脉瘤，并伴有既往血栓形成。双功超声检查证实为一梭形动脉瘤，大小为18×15 mm，腔内有血栓形成及部分再通。在局部麻醉下成功实施了手术切除，术后无并发症，上肢浅静脉流出道也未受干扰。病理报告证实为真性退行性静脉动脉瘤。我们进行了全面的文献综述，以总结目前关于贵要静脉动脉瘤的发病机制、临床特征、鉴别诊断、影像学检查方法及治疗策略的知识。
