[Hemodynamic assessment of venous aneurysm of the lower leg and therapeutic consequences].

Based on the hemodynamic findings in patients with fusiform and saccular aneurysms, one can conclude that only cases with a saccular aneurysm will subsequently form parietal thrombi in the aneurysm that will bear the danger of pulmonary embolism. In fusiform aneurysms no disturbance of flow was noted. We have been comparing two patients from our institution with the current literature. As far as the treatment plan is concerned, it can be said that aneurysms with a history of thromboembolic complications and/or mural thrombi will undoubtedly be a strict indication for operative correction. The remainder of patients can be followed by means of color Doppler and duplex sonography.