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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS VASCULAR PAPERS
The Journal of Cardiovascular Surgery 1998 October;39(5):569-72
Popliteal venous aneurysm with pulmonary embolism
Debing E., Vanhulle A.**, Verhaeghe W.*, Van Den Brande P.
From the Department of Vascular Surgery *Respiratory Division Academic Hospital, Vrije Universiteit Brussel, Brussel, Belgium
** Department of Surgery Henri Serruys Hospital, Ostend, Belgium
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 veno-graphy 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.