title: Pulmonary emboli due to venous aneurysm of extremities.
abstract: Venous aneurysms are uncommon but they can have devastating consequences, including pulmonary embolism, other thromboembolic events and death. We report six cases of venous aneurysm of the extremities, in which the first sign of presence was acute pulmonary embolism. Surgical resection is recommended whenever possible. Our experience suggests that prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for extremity deep and superficial venous aneurysms for their potential risk of developing thromboembolic complications despite adequate anticoagulation. Other venous aneurysms should be excised only if they are symptomatic or enlarging.
authors.affiliation: Department of Vascular and Endovascular Surgery, Policlinico Casilino, Rome, Italy. rogadoc@libero.it
authors.forename: R
authors.initials: R
authors.lastname: Gabrielli
authors.forename: M S
authors.initials: MS
authors.lastname: Rosati
authors.forename: S
authors.initials: S
authors.lastname: Vitale
authors.forename: M
authors.initials: M
authors.lastname: Millarelli
authors.forename: A
authors.initials: A
authors.lastname: Siani
authors.forename: R
authors.initials: R
authors.lastname: Chiappa
authors.forename: G
authors.initials: G
authors.lastname: Caselli
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology* / Q000517:prevention & control; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014656:Vascular Surgical Procedures; D014680:Veins / Q000601:surgery; D055815:Young Adult
chemical_list: D000925:Anticoagulants