Erschienen in:
01.03.2006 | ORIGINAL SCIENTIFIC REPORTS
Popliteal Venous Aneurysm—A Systematic Review
verfasst von:
David Bergqvist, MD, PhD, Martin Björck, MD, PhD, Christer Ljungman, MD, PhD
Erschienen in:
World Journal of Surgery
|
Ausgabe 3/2006
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Abstract
Background
Popliteal vein aneurysm is a rare but potentially problematic disease with a risk of pulmonary embolism.
Method
A systematic literature search was performed.
Results
A total of 105 popliteal vein aneurysms were identified, with a slight female and left-sided preponderance. Dominating symptoms are caused by pulmonary embolism, followed by local symptoms with a palpable mass. In four patients arterial symptoms were reported. The most frequently used diagnostic test was phlebography, increasingly replaced by duplex ultrasonography in recent years. Because pulmonary embolism is a potential, it motivates surgical removal. In most cases excision and lateral suture is possible. Four fatal cases were reported. Unfortunately follow-up time and results are poorly documented.
Conclusion
Popliteal venous aneurysm is rare but should be considered as a local source of pulmonary embolism when no other explanation is found.