Ann Phlebology.  2022 Dec;20(2):100-103. 10.37923/phle.2022.20.2.100.

Treatment of Popliteal Venous Aneurysms: Two Cases and Literature Analysis

• Simone S
• Maria SD
• Esposito G

• KMID: 2549987
• DOI: http://doi.org/10.37923/phle.2022.20.2.100

Abstract

Popliteal vein aneurysms are a rare vascular condition that can determine severe complications as pulmonary embolism. We report 2 cases of 56 and 33-years old women, respectively, affected by a saccular popliteal vein aneurysm. Duplex scan and angiography computed tomography have been essential for a correct diagnosis and planning of both treatments. At first, the patients were subjected to anticoagulant therapy with low-molecular-weight heparin (LMWH) pending completion of the pre-operative investigations. The patients were treated surgically with tangential aneurysmectomy with lateral venorrhaphy. Follow-up at 1 and 3 months revealed normal patency of the femoro-popliteal vein axis. Neither sensory nor motor deficit were observed. Popliteal vein aneurysms are rare but have been investigated, especially in case of recurrent thrombo-embolism events. The treatment is only surgical and can be easily approached by prone positions according to the surgeon experience.

Keyword

Popliteal vein aneurysm; Venous aneurysm; Venous disease; Venous surgery; Venous aneurysm repair