2023 Volume 32 Issue 6 Pages 443-447
Background: Venous aneurysms are rare. Herein, we report a case of popliteal venous aneurysm (PVA) detected in a patient with pulmonary thromboembolism. Case presentation: The patient is a 68-year-old woman with no relevant medical, miscarriage, or medication history who presented with the chief complaints of palpitations and shortness of breath. Upon admission, she showed a blood pressure level of 79/54 mmHg, heart rate of 129/min, SpO2 level of 85% (room air), respiratory rate of 28/min, and body temperature of 36.6°C. No leg edema was observed. Contrast-enhanced computed tomography revealed bilateral pulmonary artery emboli and a saccular venous aneurysm (30-mm diameter) with thrombus in the right popliteal vein. Pulmonary thromboembolisms resolved and the respiratory symptoms improved after 2 weeks of anticoagulation therapy. Subsequently, the patient underwent tangential aneurysmectomy with lateral venorrhaphy for PVA, followed by postoperative anticoagulation therapy for 6 months. No recurrence was observed after 2 years. Conclusion: PVAs cause pulmonary thromboembolisms. PVAs should be treated surgically as early as possible and monitored via follow-up.
