Primary aneurysm of the greater saphenous vein: Case report and literature review

Yıl 2010, Cilt: 15 Sayı: 3, 118 - 121, 17.01.2013

Hasan Ekim Halil Başel Dolunay Odabaşı Süleyman Özen

Öz

Abstract. Primary venous aneurysm is a rare vascular abnormality that can occur throughout the venous system. We report a proximal greater saphenous vein aneurysm in a twenty one-year old male. A venous duplex ultrasonographic examination showed a fusiform venous aneurysm (5 cm in diameter) of the proximal greater saphenous vein containing occluding thrombus adherent to its wall and extending to saphenofemoral junction. Operation was performed due to apparent symptoms and the potential risk for thromboembolic complications. Aneurysm was exposed through a vertical left femoral incision. It was totally filled with thrombi. Histopathological examination of the aneurysmal wall demonstrated fibrocellular thickening with irregular vascular proliferation with multiple reduplications of internal elastic lamina.  Because of the risk of thromboembolism, saphenous vein aneurysm containing occluding thrombus extending to saphenofemoral junction should be treated surgically.

Key words: Greater saphenous vein, venous aneurysm

Anahtar Kelimeler

Greater saphenous vein, venous aneurysm

Kaynakça

• Gruber HP, Amiri MA, Fraedrich G, Schlosser V. Multiple venous aneurysms of the saphenous vein: Report of an uncommon case. Vasc Surg 1991; 25: 142-145.
• Ranero-Juárez GA, Sánchez-Gómez RH, Loza-Jalil SE, Cano-Valdéz AM. Venous aneurysms of the extremities. Report of 4 cases and review of literature. Angiology 2005; 56: 475-481.
• Ekim H, Kutay V, Tuncer M, Gultekin U. Management of primary venous aneurysms. Saudi Med J 2004; 25: 303-307.
• Reggina G, Rizzo S, Impedova G. Aneurysm of external jugular vein: Case report and review of literature-A case report. Angiology 1992; 108: 92-95.
• Gillespie DL, Villavicencio L, Gallagher C, et al. Presentation and management of venous aneurysms. J Vasc Surg 1997; 26: 845-852.
• Shatz IJ, Fine G. Venous aneurysms. N Engl J Med 1962; 266: 1310-1312.
• Perez MA, Caeiro S, Guitian MD, Sanchez M, Segura RJ. Greater saphenous vein aneurysms (a case report). Vasc Surg 1999; 33: 295-300.
• Gilbert MG, Greenberg LA, Brown WT, Puranik S. Fusiform venous aneurysm of the neck in children: a report of four cases. J Pediatr Surg 1972; 7: 106-111.
• Sessa C, Nicolini P, Perrin M, et al. Management of symptomatic and asymptomatic popliteal venous aneurysms: a retrospective analysis of 25 patients and review of the literature. J Vasc Surg 2000; 32: 902-912.
• Raulin S, Raulin C, Greve B. Free-floating thrombus in the femoral vein--a challenge in phlebologic diagnostics. Eur J Dermatol 2001; 11: 564-568.
• Aldridge SC, Comerota AJ, Katz ML, et al. Popliteal venous aneurysm: report of two cases and review of the world literature. J Vasc Surg 1993; 18: 708-715.
• Marcucci G, Accrocca F, Antignani PL, Siani A. An isolated aneurysm of the thigh anterolateral branch of the greater saphenous vein in a young patient presenting as an inguinal hernia. Interact Cardiovasc Thorac Surg 2010; 10: 654-655.
• Bergqvist D, Björck M, Ljungman C. Popliteal venous aneurysm-A systematic review. World J Surg 2006; 30: 273-279.
• Seo SH, Kim MB, Kwon KS, Kim CW, Oh CK. Primary venous aneurysms of the superficial venous system. Angiology 2008; 59: 593-598.
• Hayashi S, Hamanaka Y, Sueda T, Matsuura Y. Primary venous aneurysm: Case reports. Vasc Surg 1993; 52-57.
• Ekim H, Gelen T, Karpuzoglu G. Multiple aneurysms of the cephalic vein. A case report. Angiology 1995; 46: 265-267.
• Back MR, Holt GR, Peng SK, et al. Isolated saphenous vein aneurysm: Unique presentation associated with ascending thrombophlebitic. Vasc Surg 1996; 30: 59-64.
• Marquardt G, Angles SM, Leheta FD, Seifert V. Median nerve compression caused by a venous aneurysm. Case report. J Neurosurg 2001; 94: 624- 626.