Popliteal venous aneurysm with pulmonary embolism.
A 29-year-old female was admitted to the hospital because of increasing exertional dyspnea, chest oppressive feeling and palpitation. Lung perfusion scan, pulmonary angiography, and venography of the lower extremities revealed multiple pulmonary embolism and a right popliteal venous aneurysm as the probable source of emboli. B-mode/Doppler echography and magnetic resonance imaging were useful for the preoperative evaluation. Following anticoagulant therapy and thrombolytic therapy using intravenous heparin and urokinase, respectively, the popliteal venous aneurysm was surgically excised; the walls contained organized thrombus. She delivered a baby without any complication 2 years after the surgery.
Seino
Y
Y
First Department of Medicine (Division of ICU), Nippon Medical School, Tokyo.
Fujimori
H
H
Shimai
S
S
Tanaka
K
K
Takano
T
T
Hayakawa
H
H
Niimi
Y
Y
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D010690:Phlebography; D011152:Popliteal Vein; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*