scholarly journals Diagnostic Dilemma of Recurrent Pulmonary Embolism

Diagnostics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 96
Author(s):  
Alexandra Dadarlat-Pop ◽  
Irina Burian ◽  
Laura Cadis ◽  
Raluca Tomoaia ◽  
Alexandru Oprea
Keyword(s):  
Pulmonary Embolism ◽  
Rare Case ◽  
Treatment Strategies ◽  
Venous Aneurysm ◽  
Magnetic Resonance Examination ◽  
Diagnostic Dilemma ◽  
Popliteal Aneurysm ◽  
Patch Angioplasty ◽  
Recurrent Pulmonary Embolism ◽  
Point Compression

Popliteal venous aneurysms are rare vascular disorders associated with a high risk of pulmonary embolism. We present the case of a 56-year-old woman hospitalized for a third episode of unprovoked pulmonary embolism. Venous ultrasonography identified a popliteal aneurysm, repeatedly missed by two-point compression venous ultrasonography, which was eventually confirmed by a magnetic resonance examination. Because of its highly symptomatic nature despite optimal anticoagulant treatment, the decision was made to undergo surgery, consisting of aneurysmectomy followed by patch angioplasty. The goal of this paper is to report a rare case of popliteal venous aneurysm and its treatment strategies and postoperative evolution.

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

2012 ◽  
Vol 28 (4) ◽  
pp. 219-222 ◽  
Author(s):  
R Dallatana ◽  
I Barbetta ◽  
A Settembrini ◽  
F Casazza ◽  
R Boeri ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Surgical Treatment ◽  
Oral Anticoagulant ◽  
Oral Anticoagulant Therapy ◽  
Popliteal Vein ◽  
Venous Aneurysm ◽  
Ulcerative Lesion ◽  
Recurrent Pulmonary Embolism ◽  
Frequent Site ◽  
Tangential Resection

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.

A giant aneurysm of the popliteal vein

VASA ◽  
2012 ◽  
Vol 41 (3) ◽  
pp. 229-232 ◽  
Author(s):  
M. van der Voort ◽  
R. De Maeseneer
Keyword(s):  
Pulmonary Embolism ◽  
Giant Aneurysm ◽  
Popliteal Vein ◽  
Venous Aneurysm ◽  
Recurrent Pulmonary Embolism ◽  
Rare Diagnosis ◽  
Fatal Evolution

Popliteal vein aneurysm is a rare diagnosis, associated with a 70 % risk of pulmonary embolism, sometimes even with fatal evolution. Surgery dramatically reduces the risk of pulmonary embolism. We report a case of a 66-year-old man with recurrent pulmonary embolism and a giant popliteal venous aneurysm (9.3 × 4 × 4 cm) presenting at our dermatological clinic.

Popliteal Venous Aneurysm as a Cause of Recurrent Pulmonary Embolism

2013 ◽  
Vol 47 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Tomáš Tomko ◽  
Radovan Malý ◽  
Stanislav Jiška ◽  
Vendelín Chovanec
Keyword(s):  
Pulmonary Embolism ◽  
Venous Aneurysm ◽  
Recurrent Pulmonary Embolism

Pulmonary emboli due to venous aneurysm of extremities

VASA ◽  
2011 ◽  
Vol 40 (4) ◽  
pp. 327-332 ◽  
Author(s):  
Gabrielli ◽  
Rosati ◽  
Vitale ◽  
Millarelli ◽  
Siani ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Surgical Resection ◽  
Potential Risk ◽  
Acute Pulmonary Embolism ◽  
Prophylactic Surgery ◽  
Venous Aneurysm ◽  
Pulmonary Emboli ◽  
Thromboembolic Events ◽  
Thromboembolic Complications ◽  
Risk Patients

Venous aneurysms are uncommon but they can have devastating consequences, including pulmonary embolism, other thromboembolic events and death. We report six cases of venous aneurysm of the extremities, in which the first sign of presence was acute pulmonary embolism. Surgical resection is recommended whenever possible. Our experience suggests that prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for extremity deep and superficial venous aneurysms for their potential risk of developing thromboembolic complications despite adequate anticoagulation. Other venous aneurysms should be excised only if they are symptomatic or enlarging.

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