2020 Volume 29 Issue 2 Pages 71-73
We report our experience with performing interposition surgery using the great saphenous vein for a popliteal venous aneurysm in a patient with pulmonary embolism. A 75-year-old woman with a complaint of chest tightness and dyspnea was admitted to our hospital. Contrast-enhanced computed tomography (CT) revealed a pulmonary embolism and right popliteal venous aneurysm. After treatment with anticoagulation therapy, diuretics, and inferior vena cava filter placement in our department of cardiology, we performed surgery for the popliteal venous aneurysm. During surgery, the great saphenous vein was collected from the left thigh in the supine position and then the patient was placed in the prone position. The venous aneurysm was 3 cm in diameter and 4 cm long, and was resected and replaced with the great saphenous vein. The postoperative course was good, and the patient returned to the hospital 18 days after the surgery for follow-up examination. In the contrast-enhanced CT evaluation, the great saphenous vein graft was patent and the anastomosis was good.
