Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2019)
Treatment of popliteal venous aneurysms by femoral vein ligation
Abstract
Popliteal venous aneurysms are highly associated with local venous thrombosis and pulmonary embolism. We propose a simple and new surgical therapy for popliteal venous aneurysm by ligation of the femoral vein. We describe the case of a woman with recurrent pulmonary embolism. Venous ultrasound examination showed a venous aneurysm of the right popliteal fossa. We proposed a ligature-section of the femoral vein just below the confluence of the great saphenous vein. After >6 years of follow-up, the patient is asymptomatic, with a completely normal life and only a small amount of edema of the right leg. Keywords: Popliteal venous aneurysm, Surgery, Deep vein thrombosis