Journal of vascular surgery. Venous and lymphatic disorders · 2020
Surgical management of venous aneurysms.
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ElKassaby Mohammed, Regal Samer, Khafagy Tamer, El Alfy Khaled
Аннотация
BACKGROUND: Venous aneurysms (VA) are often underestimated as a dangerous vascular condition that can lead to fatal complications. We have adopted a more aggressive surgical approach to treatment of venous aneurysms that seems to be safe and effective, and report herein the results of this approach.
METHODS: A retrospective analysis of patients presented with VA between January 2013, and January 2018.
RESULTS: We identified 13 VA in 13 patients. The mean patient age was 21.6 years (range, 7-42 years). Six patients were male (46.2%) and seven were female (53.8%). All patients presented with swellings in different areas, mostly in the neck (nine patients [69.2%]). Two patients had a short saphenous vein aneurysm complicated with paresthesia (15.3%). All patients underwent surgical correction. Tangential excision was done for noncomplicated saccular aneurysms (six patients [46.2%]), whereas ligation and excision were done for fusiform aneurysms (five patients) and two saccular aneurysms presenting with thrombosis (53.8%). No signification complications were noted.
CONCLUSIONS: Surgical treatment of venous aneurysms is safe and may help to avoid possible pulmonary embolism.
METHODS: A retrospective analysis of patients presented with VA between January 2013, and January 2018.
RESULTS: We identified 13 VA in 13 patients. The mean patient age was 21.6 years (range, 7-42 years). Six patients were male (46.2%) and seven were female (53.8%). All patients presented with swellings in different areas, mostly in the neck (nine patients [69.2%]). Two patients had a short saphenous vein aneurysm complicated with paresthesia (15.3%). All patients underwent surgical correction. Tangential excision was done for noncomplicated saccular aneurysms (six patients [46.2%]), whereas ligation and excision were done for fusiform aneurysms (five patients) and two saccular aneurysms presenting with thrombosis (53.8%). No signification complications were noted.
CONCLUSIONS: Surgical treatment of venous aneurysms is safe and may help to avoid possible pulmonary embolism.