Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492010000400008
Jornal Vascular Brasileiro
Case Report

Ressecção de aneurisma venoso em veia jugular externa direita

Resection of right external jugular vein aneurysm

Eduardo Pereira Savi; Fernando Wagner; Reginaldo Boppré; Felipe Caetano Mamprim; Alberto Boppré

http://dx.doi.org/10.1590/S1677-54492010000400008 J Vasc Bras, vol.9, n4, p.245-248, 2010
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Resumo

O aneurisma venoso é uma anomalia rara, cujo diagnóstico pode ser realizado a partir de exames físicos e complementares. Sua raridade justifica a necessidade de investigação e de publicações de estudos de caso, objetivo maior deste estudo. Relata-se aqui o caso de uma paciente que apresentava um abaulamento cervical anterior assintomático, progressivo e com seis meses de evolução. A paciente foi submetida à cervicotomia anterior, sob anestesia geral, com ressecção do segmento venoso acometido e ligadura da veia jugular externa. Realizado o estudo, verificou-se que aneurismas venosos podem causar tromboflebite, embolia pulmonar ou rotura. Cirurgia profilática, quando oferece baixo risco, é cuidadosamente recomendada para pacientes com aneurismas abdominais e altamente recomendada para aneurismas do sistema venoso profundo dos membros inferiores. Outros aneurismas venosos devem ser tratados cirurgicamente quando sintomáticos, desfigurantes ou se apresentarem aumento progressivo.

Palavras-chave

Aneurisma, Esvaziamento cervical, Ligadura

Abstract

Venous aneurysms are a rare abnormality, usually found in physical or complementary exams. We report a case of a 43-year old female with an asymptomatic and progressive enlarging mass in the neck. She had no history of trauma or cervical puncture. Vascular ultrasound showed a right jugular veins aneurysm with 1,81 x 1,62 cm of diameter. She was undergone resection and ligation of right external jugular vein, under general anesthesia. Venous aneurysm can cause thrombophlebitis, pulmonary embolism or spontaneous rupture. Prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for most patients with lower extremity deep venous aneurysms. Other venous aneurysms should be excised only if they are symptomatic, enlarging, or disfiguring

Keywords

Aneurysm, Neck dissection, Ligation

References

Suchý T. Venous aneurysms. Rozhl Chir.. 1995;74:284-6.

Faraj W, Selmo F, Hindi M, Haddad F, Khalil I. Cephalic vein aneurysm. Ann Vasc Surg.. 2007;21:804-6.

Dourado OC, Miranda AG, Pinheiro Filho A. Aneurisma venoso no pé: relato de casos e revisão da literatura. J Vasc Bras.. 2006;5:313-6.

Calligaro KD, Ahmad S, Dandora R. Venous aneurysms: surgical indications and review of the literature. Surgery. 1995;117:1-6.

Schild H, Berg S, Weber W. The venous aneurysm. Aktuelle Radiol.. 1992;2:75-80.

Gillespie DL, Villavicencio JL, Gallagher C. Presentation and management of venous aneurysms. J Vasc Surg.. 1997;26:845-52.

Ahn JY, Chung YS, Lee BH. J Stent-graft placement in a traumatic internal carotid-internal jugular fistula and pseudoaneurysm. Clin Neurosci.. 2004;11:636-9.

Ilijevski NS, Radak S, Vucurević G. Jugular vein aneurysm. Vascular.. 2008;16:291-4.

Verbeeck N, Hammer F, Goffette P. Saccular aneurysm of the external jugular vein, an unusual cause of neck swelling. J Belge Radiol.. 1997;80:63-4.

Majeski J. Surgical repair of primary saphenous vein aneurysm of the proximal leg after initial presentation as an inguinal hernia. Am Surg.. 2002;68:999-1002.

Castle JM, Arous EJ. Femoral vein aneurysm: a case report and review of the literature. Cardiovasc Surg.. 1995;3:317-9.

Kuss JJ, Karli A, Fischbach M. Congenital carotid to jugular aneurysm. Arch Fr Pediatr.. 1979;36:502-7.

Beale TJ, Smedley FH, Knee G. Thrombosis within an external jugular venous aneurysm. JR Coll Surg Edinb.. 1996;41:181-2.

Gillespie DL, Villavicencio JL, Gallagher C. Presentation and management of venous aneurysms. J Vasc Surg.. 1997;26:845-52.

Hermans R. Phlebectasia of the external jugular vein: a case report. J Belge Radiol.. 1991;74:221-2.

Dhillon MK, Leong YP. Singapore Jugular venous aneurysm: a rare cause of neck swelling. Med J.. 1991;32:177-8.

Andreev A, Petkov D, Kavrakov T. Jugular venous aneurysms: when and how to operate. Int Angiol.. 1998;17:272-5.

Friedman SG, Krishnasastry KV, Doscher W, Deckoff SL. Primary venous aneurysms. Surgery.. 1990;108:92-5.

Sitkovski NB, Danhin TI, Kisel NP. Pathogenesis of congenital aneurysm of the internal jugular veins. AN Khirurgiia (Mosk). 1993:22-5.

Ilijevski NS, Radak S, Novakovic B. Images in vascular medicine: Jugular vein aneurysm--ultrasonographic evaluation. Vasc Med.. 2006;11:51.

Porcellini M, Selvetella L, Bernardo B. Aneurysms of the external jugular vein. Chir.. 1996;17:238-41.

Sessa C, Nicolini P, Perrin M. Management of symptomatic and asymptomatic popliteal venous aneurysms: a retrospective analysis of 25 patients and review of the literature. J Vasc Surg.. 2000;32:902-12.

Wolosker N, Zerati AE, Nishinari K. Aneurysm of superior mesenteric vein: case report with 5-year follow-up and review of the literature. J Vasc Surg.. 2004;39:459-61.

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