Popliteal venous aneurysm--a systematic review

World J Surg. 2006 Mar;30(3):273-9. doi: 10.1007/s00268-005-7982-y.

Abstract

Background: Popliteal vein aneurysm is a rare but potentially problematic disease with a risk of pulmonary embolism.

Method: A systematic literature search was performed.

Results: A total of 105 popliteal vein aneurysms were identified, with a slight female and left-sided preponderance. Dominating symptoms are caused by pulmonary embolism, followed by local symptoms with a palpable mass. In four patients arterial symptoms were reported. The most frequently used diagnostic test was phlebography, increasingly replaced by duplex ultrasonography in recent years. Because pulmonary embolism is a potential, it motivates surgical removal. In most cases excision and lateral suture is possible. Four fatal cases were reported. Unfortunately follow-up time and results are poorly documented.

Conclusion: Popliteal venous aneurysm is rare but should be considered as a local source of pulmonary embolism when no other explanation is found.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Aneurysm / diagnosis*
  • Aneurysm / surgery*
  • Humans
  • Peripheral Vascular Diseases / diagnosis*
  • Peripheral Vascular Diseases / surgery*
  • Popliteal Vein*
  • Risk Factors