Pathogenesis and management of superficial venous aneurysms through a case of thrombosed large great saphenous vein aneurysm

Vascular. 2021 Apr;29(2):297-300. doi: 10.1177/1708538120949720. Epub 2020 Aug 24.

Abstract

Introduction: Superficial venous aneurysms are uncommon entities though venous Doppler has facilitated the detection of asymptomatic small aneurysms. Thromboembolic complications are rare with superficial venous aneurysms. The data regarding optimal therapy and pathogenesis of superficial venous aneurysm is sparse and is limited to isolated case reports.

Methods: Here, we present an unusual case of thrombosed large great saphenous vein aneurysm which was managed with Doppler, preoperative anticoagulation and surgical excision.

Results and conclusion: This paper is intended to review the current knowledge about the pathogenesis of superficial venous aneurysm of lower extremities, their optimal management and to guide future research in this area.

Keywords: Venous; aneurysm; great saphenous vein; superficial vein; thrombosis; varicose vein.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aneurysm / diagnostic imaging
  • Aneurysm / surgery*
  • Anticoagulants / administration & dosage
  • Drug Administration Schedule
  • Heparin, Low-Molecular-Weight / administration & dosage
  • Humans
  • Ligation
  • Male
  • Saphenous Vein / diagnostic imaging
  • Saphenous Vein / surgery*
  • Treatment Outcome
  • Ultrasonography, Doppler
  • Vascular Surgical Procedures*
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / surgery*

Substances

  • Anticoagulants
  • Heparin, Low-Molecular-Weight