Case reports   

International Angiology 2006 December;25(4):427-32

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Popliteal venous aneurysm with repeated episodes of pulmonary embolism. Case report and literature review

Akagi D. ^{1, 2}, Oshiro H. ¹, Yamamoto K. ¹, Kimura H. ¹, Taniwaka K. ², Shigematsu H. ¹, Nagawa H. ¹, Miyata T. ¹

¹ Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan 2 Department of Surgery, Kambara Municipal Hospital, Shizuoka, Japan

Popliteal venous aneurysm (PVA) is a rare, but a life-threatening, disease causing pulmonary embolism (PE). We experienced a case of primary PVA with repeated PE attacks without intraluminal thrombus. Surgical repair was safely performed with a temporary vena cava filter and an intraoperative external pneumatic compression device to the calf. During the perioperative period, pneumatic compression was continued until the patient returned to a normal ambulatory status. The patient has had no episode of PE for 24 months since the operation.