폐색전증을 동반한 슬와정맥류
A Popliteal Vein Aneurysm Causing Pulmonary Embolism
홍석기, 송무형, 성기영, 이도상, 김욱, 박일영, 원종만,
소속 상세정보
홍석기 ( Hong Seok-Gi )
가톨릭대학교 성가병원 외과학교실
송무형 ( Song Moo-Hyung )
가톨릭대학교 성가병원 외과학교실
성기영 ( Sung Gi-Young )
가톨릭대학교 성가병원 외과학교실
이도상 ( Lee Do-Sang )
가톨릭대학교 성가병원 외과학교실
김욱 ( Kim Wook )
가톨릭대학교 성가병원 외과학교실
박일영 ( Park Il-Young )
가톨릭대학교 성가병원 외과학교실
원종만 ( Won Jong-Man )
가톨릭대학교 의과대학 외과학교실
KMID : 0371320010610060629
Abstract
Popliteal vein aneurysm is a very uncommon and rarely reported although potentially life-threatening disease because it can be a source of pulmonary embolism. A patient with recurrent pulmonary embolism must be checked for lower extremity venous
abnormalities. Recently, newer techniques including duplex scanning, computerized tomography and magnetic resonance imaging are useful in detecting popliteal fossa venous abnormalities. However, venography is also mandatory before operating on a
popliteal vein aneurysm. Several methods are useful for the surgical treatment of popliteal vein aneurysms, including aneurysmectomy with lateral venorrhaphy, aneurysmectomy with vein transposition, aneurysmectomy with vein patch, etc. Following
surgery, anticoagulation therapy is widely accepted. Here in, we present a case of popliteal vein aneurysm with pulmonary embolism. This patient was a 67-year-old woman exhibiting chest pain and exertional dyspnea. Lung scan and chest CT revealed
multiple pulmonary embolisms and lower extremity venography revealed a right popliteal vein aneurysm with thromboembolism. This patient underwent aneurysmectomy with lateral venorrhaphy.
키워드
슬와 정맥류; 폐색전증; 정맥벽 봉합술; Popliteal vein aneurysm; Pulmonary embolism; Lateral venorrhaphy;
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