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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 1998 December;17(4):272-5

language: English

Jugular ­venous aneu­rysms: when and how to oper­ate

Andreev A., Petkov D., Kavrakov T., Penkov P.

From the Vascular Surgery Clinic, University Hospital, Tracia University, Stara Zagora, Bulgaria


Background. Jugular ­venous aneu­rysms are rare, usu­al­ly con­gen­i­tal, and ­present par­tic­u­lar prob­lems in man­age­ment. Whether to per­form sur­gery or not is con­tro­ver­sial, cos­met­ic con­sid­er­a­tions being the pri­mary fac­tor in the deci­sion.
Methods. Over the past nine years, 10 ­patients with uni­lat­er­al jug­u­lar ­venous aneu­rysms have been close­ly fol­lowed up in our depart­ment. The most infor­ma­tive diag­nos­tic pro­ce­dure for the con­di­tion was con­sid­ered to be ultra­son­o­graph­ic imag­ing after a pos­i­tive Valsalva manoeuv­er, but in six cases phle­bog­ra­phy was nec­es­sary. Various oper­a­tive tech­niques were used — ­venous liga­tion, tan­gen­tial venor­rha­phy with or with­out aneu­rysm resec­tion and auto­ve­nous band­ing, accord­ing to the path­o­log­i­cal find­ings.
Results. No com­pli­ca­tions from the sur­gery were report­ed. Over a fol­low-up peri­od rang­ing from six ­months to eight years both oper­at­ed and non-oper­at­ed ­patients were found to be doing equal­ly well.
Conclusions. Problems with the ter­mi­nol­o­gy of the dis­ease, its diag­no­sis and the indi­ca­tions for sur­gery are dis­cussed. Surgical meth­ods are ­reviewed and a new oper­a­tive tech­nique is pre­sent­ed. We con­clude that apart from cos­met­ic con­sid­er­a­tions, throm­bo­sis and aneu­rys­mal expan­sion are the prin­ci­pal indi­ca­tions for sur­gery.

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