Tratamento cirúrgico de um aneurisma primário de veia ilíaca externa

Márcio Luís Lucas; Tiago Blaya Martins; Newton Aerts

doi:10.1590/1677-5449.0080

Case Report

Tratamento cirúrgico de um aneurisma primário de veia ilíaca externa

Surgical treatment of a primary external iliac vein aneurysm

Márcio Luís Lucas; Tiago Blaya Martins; Newton Aerts

http://dx.doi.org/10.1590/1677-5449.0080 J Vasc Bras, vol.14, n3, p.267-270, 2015

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Resumo

ResumoAneurismas primários da veia ilíaca são extremamente raros e podem complicar com trombose, embolia pulmonar ou ruptura. Acredita-se que existam apenas 14 casos descritos na literatura. Neste artigo, descrevemos um caso de um jovem de 25 anos, que apresentava edema e cianose do membro inferior esquerdo. A ecografia vascular revelou uma massa cística em fossa ilíaca esquerda. A angiotomografia confirmou o diagnóstico de um aneurisma da veia ilíaca externa esquerda de 3,8 cm, no maior diâmetro. O paciente foi submetido ao tratamento cirúrgico através da ressecção do aneurisma seguida de venorrafia longitudinal. Teve boa evolução pós-operatória, com um seguimento clínico de 44 meses. Houve uma melhora do edema no membro inferior esquerdo, sem complicações tardias.

Palavras-chave

aneurisma, veia ilíaca, edema

Abstract

AbstractPrimary external iliac vein aneurysms are rare and can be complicated by thrombosis, pulmonary embolism, or rupture. To date, there are only 14 cases reported in the literature. In this paper we report a case of a 25-year-old man who presented with left lower limb edema and cyanosis. Vascular ultrasonography revealed a cystic tumor in the left iliac fossa. Computed tomography angiography confirmed that the finding was an external iliac vein aneurysm, measuring 3.8 cm at its largest diameter. The patient underwent surgical treatment with resection followed by longitudinal venorrhaphy, with no complications. After the procedure left limb symptoms improved. The patient has exhibited no late complications over 44 months of follow-up.

Keywords

aneurysm, iliac vein, edema

References

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Lucas ML, Martins TB, Aerts N. Tratamento cirúrgico de um aneurisma primário de veia ilíaca externa. J. Vasc. Bras. .

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">

Tratamento cirúrgico de um aneurisma primário de veia ilíaca externa

Surgical treatment of a primary external iliac vein aneurysm

Márcio Luís Lucas; Tiago Blaya Martins; Newton Aerts

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Abstract

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