Advertisement

Popliteal Venous Aneurysm

Open AccessPublished:February 10, 2022DOI:https://doi.org/10.1016/j.ejvsvf.2022.02.001
      A 32 year old woman, at 25 weeks of her first pregnancy, presented with massive acute pulmonary embolism with haemodynamic instability. She required fibrinolysis, ventilatory support, and vasoactive drugs. Anticoagulation was started (enoxaparin 1 mg/kg twice daily). During her admission to the intensive care unit, lower limb Doppler ultrasound showed a left popliteal venous aneurysm which had a maximum diameter of 4.5 cm and was 7 cm long, compressible, with minimal remaining parietal thrombus. The study was completed using magnetic resonance angiography (Fig. 1A and B). Conservative management with enoxaparin (1 mg/kg twice daily) was selected and the pregnancy continued without complications. Enoxaparin was discontinued at week 38 of pregnancy to induce labour, and subsequently re-introduced after 8 hours of delivery. The medication will be maintained until consideration of surgery once the patient finishes breastfeeding.
      Figure thumbnail gr1
      Figure 1(A) T2 STIR morphological sequence. (B) TWIST time resolved 3D sequence, MIP reconstruction.

      Comments

      Commenting Guidelines

      To submit a comment for a journal article, please use the space above and note the following:

      • We will review submitted comments as soon as possible, striving for within two business days.
      • This forum is intended for constructive dialogue. Comments that are commercial or promotional in nature, pertain to specific medical cases, are not relevant to the article for which they have been submitted, or are otherwise inappropriate will not be posted.
      • We require that commenters identify themselves with names and affiliations.
      • Comments must be in compliance with our Terms & Conditions.
      • Comments are not peer-reviewed.