Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492008000300012
Jornal Vascular Brasileiro
Case Report

Aneurisma de veia poplítea: relato de caso e revisão de literatura

Popliteal vein aneurysm: case report and review of the literature

Fernando Thomazinho; Jose Antonio Morselli Diniz; Ramzi Abdallah El Hosni Junior; Carlos Alberto Morselli Diniz; Igor Schincariol Perozin

http://dx.doi.org/10.1590/S1677-54492008000300012 J Vasc Bras, vol.7, n3, p.262-265, 2008
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Resumo

Os aneurismas venosos são entidades raras, porém com potencialidade de causar complicações tromboembólicas. Na maioria das vezes, são encontrados incidentalmente, como achados de exame físico ou de imagem. Os aneurismas sintomáticos de veia poplítea são obrigatoriamente tratados por reparo cirúrgico, devido ao alto risco de recorrência de embolia pulmonar. A técnica mais utilizada é a aneurismectomia tangencial com venorrafia lateral. Na impossibilidade de se empregar essa técnica, faz-se a ressecção com reconstrução venosa. Os autores relatam o caso de uma paciente com aneurisma de veia poplítea, cujo diâmetro era de 47 mm, submetido a aneurismectomia tangencial e venorrafia lateral, com sucesso.

Palavras-chave

Aneurisma, veia, cirurgia

Abstract

Venous aneurysms are considered to be a rare disease; however they can be a potential cause for the development of thromboembolism. They are mostly detected by physical examination or imaging exams. Symptomatic aneurysms of the popliteal vein must be surgically treated, due to high risk of recurrent pulmonary embolism. The most widely used procedure is tangential aneurysmectomy and lateral venorrhaphy. If not possible, the aneurysm should be removed and a venous reconstruction should be performed. The authors report a case of a patient with a popliteal vein aneurysm measuring 47 mm in diameter. Tangential aneurysmectomy and lateral venorrhaphy were successfully used for treatment.

Keywords

Aneurysm, vein, surgery

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