title: Management of symptomatic venous aneurysm.
abstract: Venous aneurysms (VAs) have been described in quite of all the major veins. They represent uncommon events but often life-threatening because of pulmonary or paradoxical embolism. We describe our twelve patients' series with acute pulmonary emboli due to venous aneurysm thrombosis. Our experience underlines the importance of a multilevel case-by-case approach and the immediate venous lower limbs duplex scan evaluation in pulmonary embolism events. Our data confirm that anticoagulant alone is not effective in preventing pulmonary embolism. We believe that all the VAs of the deep venous system of the extremities should be treated with surgery as well as symptomatic superficial venous aneurysm. A simple excision can significantly improve symptoms and prevent pulmonary embolism.
authors.affiliation: Department of Vascular Surgery, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy. rogadoc@libero.it
authors.forename: Roberto
authors.initials: R
authors.lastname: Gabrielli
authors.forename: Maria Sofia
authors.initials: MS
authors.lastname: Rosati
authors.forename: Andrea
authors.initials: A
authors.lastname: Siani
authors.forename: Luigi
authors.initials: L
authors.lastname: Irace
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000925:Anticoagulants / Q000494:pharmacology; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology / Q000517:prevention & control*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D055815:Young Adult
chemical_list: D000925:Anticoagulants