Acute pulmonary embolism as a complication in a young male patient with a left popliteal venous aneurysm
Embolia pulmonar aguda como complicação em paciente masculino jovem com aneurisma venoso poplíteo esquerdo
Emmanuel Contreras-Jiménez; Jose I. Martínez-Quesada; Montserrat W. Miranda-Ramirez; Javier E. Anaya-Ayala; Luis H. Arzola-Flores; Santiago Mier y Terán-Ellis; Cesar Cuen-Ojeda; Carlos A. Hinojosa
Abstract
Keywords
Resumo
Resumo: Aneurismas venosos são raros, tendo uma prevalência de 0,1 a 0,2% nas séries relatadas. Os pacientes não costumam manifestar sintomas; entretanto, são propensos a desenvolver trombose venosa profunda e a complicação mais temida, embolia pulmonar. Apresentamos o caso de um homem de 36 anos previamente hígido que chegou ao serviço de emergência queixando-se de taquicardia, dispneia e dor pleurítica. Uma angiotomografia computadorizada confirmou o diagnóstico de embolia pulmonar aguda. O paciente foi tratado com trombólise sistêmica e anticoagulantes. Em exames posteriores para investigar a causa da embolia, uma tomografia computadorizada revelou dilatação fusiforme da veia poplítea esquerda medindo 3x3 cm, com enchimento incompleto devido à presença de um trombo. O paciente foi submetido a reparo cirúrgico aberto. No seguimento de 1 mês, ele estava assintomático, e uma ultrassonografia revelou a patência completa da veia poplítea, sem dilatação ou trombo.
Palavras-chave
References
1 Labropoulos N, Volteas SK, Giannoukas AD, Touloupakis E, Delis K, Nicolaides AN. Asymptomatic popliteal vein aneurysms. Vasc Surg. 1996;30(6):453-7.
2 Stevenson GH. Arterio-venous aneurysm of the popliteal vessels. Glasgow Med J. 1926;106(4):251-4. PMid:30437982.
3 May R, Nissl R. Aneurysma der Vena poplitea. Fortschr Geb Rontgenstr Nuklearmed. 1968;108(3):402-3.
4 McDevitt DT, Lohr JM, Martin KD, Welling RE, Sampson MG. Bilateral popliteal vein aneurysms. Ann Vasc Surg. 1993;7(3):282-6.
5 Maleti O, Lugli M, Collura M. Anevrysmes veineux poplites: experience personnelle. Phlebologie. 1997;50:53-9.
6 Bergqvist D, Björck M, Ljungman C. Popliteal venous aneurysm a systematic review. World J Surg. 2006;30(3):273-9.
7 Jimenez F, Utrilla A, Cuesta C, et al. Popliteal artery and venous aneurysm as a complication of arthroscopic meniscectomy. J Trauma. 1988;28(9):1404-5.
8 Dahl JR, Freed TA, Burke MF. Popliteal vein aneurysm with recurrent pulmonary thromboemboli. JAMA. 1976;236(22):2531-2.
9 Ghanem AMT, Sami M, Heshmat A. Popliteal vein aneurysm associated with varicose veins, hydrocele, and multiple congenital osteomas: a case report and review of the literature. Vasc Specialist Int. 2019;35(1):44-7.
10 Cox MW, Krishnan S, Aidinian G. Fatal pulmonary embolus associated with asymptomatic popliteal venous aneurysm. J Vasc Surg. 2008;48(4):1040.
11 Bajaj V, Benavides F, Fisher J. Nonsurgical management of an asymptomatic popliteal venous aneurysm. J Surg Case Rep. 2020;2020(2):rjz396.
12 Lutz HJ, Sacuiu RD, Savolainen H. Surgical therapy of an asymptomatic primary popliteal venous aneurysm. Ann Vasc Surg. 2012;26(5):729.e7-9.
13 Sessa C, Nicolini P, Perrin M, Farah I, Magne JL, Guidicelli H. Management of symptomatic and asymptomatic popliteal venous aneurysms: a retrospective analysis of 25 patients and review of the literature. J Vasc Surg. 2000;32(5):902-12.
14 Arakawa K, Himeno H, Kirigaya J, et al. Pulmonary thromboembolism caused by prolonged compression at the femoral access site and a venous aneurysm of the ipsilateral popliteal vein. Ann Vasc Dis. 2016;9(1):58-61.
15 Gemayel G. A rare cause of pulmonary embolism: popliteal vein aneurysm. Eur J Vasc Endovasc Surg. 2016;51(6):809.
16 Ghali MGZ, Taylor JA, Mallon M, et al. Popliteal venous aneurysm presenting with bilateral pulmonary thromboembolism. Vasc Endovascular Surg. 2018;52(4):287-90.
17 Lee JG, Chang JW, Kim SY. A case of pulmonary embolism caused by huge popliteal venous saccular aneurysm. J Korean Med Sci. 2019;34(18):e121.
18 Sandstrom A, Reynolds A, Jha P. Popliteal vein aneurysm: a rare cause of pulmonary emboli. Ann Vasc Surg. 2017;38:315.e15-7.
19 Zhao S, Wang X, Sheng H, Huang W, Zhu Y. Our experience of symptomatic and asymptomatic popliteal venous aneurysm. J Vasc Surg Cases Innov Tech. 2018;4(1):1-4.
20 Tejura TK, Wable S, Horrow MM. Thrombosed popliteal venous aneurysm. Ultrasound Q. 2010;26(2):111-3.
21 Auboire L, Palcau L, Mackowiak E, Viader F, Le Hello C, Berger L. Ischemic stroke due to paradoxical embolism arising from a popliteal vein aneurysm. Ann Vasc Surg. 2014;28(3):738.e15-7.
22 Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020;41(4):543-603.
Submitted date:
12/12/2022
Accepted date:
03/16/2023
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
Reddit
CiteULike
Email