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Phlebology. 2013 Jun;28(4):219-22. doi: 10.1258/phleb.2012.011120. Epub 2013 May 6.

Recurrent pulmonary embolism secondary to popliteal vein aneurysm with intraluminal wall ulcer.

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Division of Vascular Surgery, Università degli Studi di Milano-Ospedale San Carlo Borromeo, Milano, Italy.


The popliteal vein is the most frequent site of venous aneurysm. Surgical treatment is indicated above a 2.5 cm diameter to prevent complications, notably deep venous thrombosis and pulmonary embolism (PE). Here we report a case of recurrent episodes of severe PE, leading to cardio-circulatory shock caused by a popliteal vein aneurysm (PVA) despite oral anticoagulant therapy. When surgical correction of the aneurysm was performed, we found an ulcerative lesion in the inner aspect of the vein that was acting as a 'thrombogenic focus' inside the aneurysm. An accurate inspection of the intimal wall is always important during surgery of PVA, particularly when tangential resection is performed.


deep vein thrombosis; pulmonary embolism; venous aneurysm; venous thromboembolism; venous ulceration

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