Fatal pulmonary embolus associated with asymptomatic popliteal venous aneurysm

Objective To describe a case of a rare type of venous aneurysm (posterior tibial) with associated pulmonary embolus. We will discuss options and considerations germane to the diagnostic evaluation and possible interventions for this challenging clinical scenario. Methods Case presentation and literature review. Results A 36-year-old man presented to an outside hospital with a three-day history of left calf pain, acute shortness of breath and syncope elicited by exercise. Work-up demonstrated a pulmonary embolus and a posterior tibial venous aneurysm with mural thrombus. The patient presented to us 18 months later with persistent calf pain seeking an alternative to recommendations of lifelong anticoagulation. The patient was treated with surgical resection of the venous aneurysm with subsequent discontinuation of his anticoagulation. There were no surgical or thrombotic complications of this treatment course and the patient's discomfort improved. Conclusion Primary aneurysms of the tibial veins as a cause of pulmonary emboli are rare. A review of the literature suggests that anticoagulation alone does not provide effective amelioration of thromboembolic risk from lower extremity venous aneurysms. We have reported a case of successful surgical treatment of a posterior tibial venous aneurysm and recommend that surgical correction be strongly considered for accessible venous aneurysms.

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Fatal Pulmonary Embolus After Uterine Artery Fibroid Embolisation

CardioVascular and Interventional Radiology ◽

10.1007/s00270-009-9589-4 ◽

2009 ◽

Vol 32 (5) ◽

pp. 1080-1082 ◽

Cited By ~ 18

Author(s):

Haitham Hamoda ◽

P. Tait ◽

D. K. Edmonds

Keyword(s):

Pulmonary Embolus ◽

Uterine Artery ◽

Fatal Pulmonary Embolus

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TOTAL DISAPPEARANCE OF A FATAL PULMONARY EMBOLUS DURING STREPTOKINASE THERAPY OF AN ILIOFEMORAL THROMBOSIS

Acta Medica Scandinavica ◽

10.1111/j.0954-6820.1975.tb04946.x ◽

2009 ◽

Vol 197 (1-6) ◽

pp. 431-432 ◽

Cited By ~ 1

Author(s):

Jan Eklund ◽

Evald Johansson ◽

Christer Paul

Keyword(s):

Pulmonary Embolus ◽

Iliofemoral Thrombosis ◽

Fatal Pulmonary Embolus ◽

Streptokinase Therapy ◽

Total Disappearance

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Fatal pulmonary embolus following Caesarean section

Anaesthesia ◽

10.1111/j.1365-2044.1992.tb02406.x ◽

1992 ◽

Vol 47 (8) ◽

pp. 714-715

Author(s):

P.H. Wittmann ◽

F.W. Wittmann

Keyword(s):

Caesarean Section ◽

Pulmonary Embolus ◽

Fatal Pulmonary Embolus

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Vena Cava Thrombus and Fatal Pulmonary Embolus

Laboratory Medicine ◽

10.1309/jfq5-3y82-qpym-e9ad ◽

2002 ◽

Vol 33 (7) ◽

pp. 553-555

Author(s):

Edward A. Faber ◽

Stanley J. Geyer

Keyword(s):

Pulmonary Embolus ◽

Vena Cava ◽

Fatal Pulmonary Embolus

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Safety of mini-dose heparin administration for neurosurgical patients

Journal of Neurosurgery ◽

10.3171/jns.1977.47.1.0027 ◽

1977 ◽

Vol 47 (1) ◽

pp. 27-30 ◽

Cited By ~ 76

Author(s):

Hugh G. Barnett ◽

John R. Clifford ◽

Raeburn C. Llewellyn

Keyword(s):

Venous Thrombosis ◽

Deep Venous Thrombosis ◽

Pulmonary Embolus ◽

Neurosurgical Procedures ◽

Content Type ◽

Dose Heparin ◽

Heparin Administration ◽

Neurosurgical Patients ◽

Before And After ◽

Fatal Pulmonary Embolus

✓ A course of small doses of heparin given subcutaneously before and after elective operations has been reported to reduce the incidence of deep venous thrombosis and pulmonary embolism in general surgical patients. To test the safety of mini-dose heparin for neurosurgical patients, mini-dose heparin was used for 150 adult patients undergoing elective neurosurgical procedures. No operative complications were thought to be related to heparin administration. Postoperatively, there were four wound seromas, two hematomas, and one non-fatal pulmonary embolus. Seven patients died postoperatively, of whom five had no evidence of pulmonary embolus. Although no conclusions were drawn as to the effectiveness of mini-dose heparin in preventing deep venous thrombosis or pulmonary emboli, it was believed that the method could be used safely and without fear of increased intracranial or intraspinal bleeding for neurosurgical patients.

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