Debing E, Vanhulle A, Verhaeghe W, Van Den Brande P
Department of Vascular Surgery, Academic Hospital, Vrije Universiteit Brussel, Brussels, Belgium.
J Cardiovasc Surg (Torino). 1998 Oct;39(5):569-72.
Two previously healthy patients were admitted for chest pain, haemoptysis and dyspnoea. Perfusion-ventilation lung scanning demonstrated pulmonary embolism. Lower extremity duplex imaging and contrast venography revealed a thrombosed popliteal vein aneurysm as the source of emboli. After immediate anticoagulant therapy, the thrombo-embolic source was excluded by aneurysmectomy with lateral venography in the first patient. The second patient was treated by anticoagulants and percutaneous vena cava inferior filter placement to prevent recurrent pulmonary embolism. Anatomopathological findings, possible origin, diagnostic modalities and medical and surgical treatment of popliteal vein aneurysm are discussed.
两名既往健康的患者因胸痛、咯血和呼吸困难入院。肺灌注通气扫描显示有肺栓塞。下肢双功超声成像和静脉造影显示腘静脉瘤内有血栓形成，为栓子来源。在立即进行抗凝治疗后，第一名患者通过动脉瘤切除术及侧位静脉造影排除了血栓栓塞源。第二名患者接受了抗凝治疗及经皮置入下腔静脉滤器以预防复发性肺栓塞。本文讨论了腘静脉瘤的解剖病理学发现、可能的起源、诊断方法以及内科和外科治疗。
