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World J Surg. 2006 Mar;30(3):273-9.

Popliteal venous aneurysm--a systematic review.

Author information

1
Department of Surgical Sciences, Section of Surgery, University Hospital, Uppsala, SE-751 85, Sweden. david.bergqvist@surgsci.uu.se

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.

PMID:
16479328
DOI:
10.1007/s00268-005-7982-y
[Indexed for MEDLINE]

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