A 12-year-old boy presenting with chest pain and dyspnea was found to have bilateral pulmonary thromboembolism (PTE) secondary to left popliteal venous aneurysm (PVA) with thrombus. He improved with thrombolytics, developed recurrent PTE, then underwent surgical repair of his PVA. The pathophysiology, diagnosis, and management of PVA are discussed.
GabrielliRRosatiMSSianiAIraceL. Management of Symptomatic Venous Aneurysm. The Scientific World Journal. 2012;2012:386478. doi:10.1100/2012/386478.
6.
HallstenssonSLjungmanCRudströmHBjörckMBergqvistD. Claudication and pulmonary embolism can be caused by venous aneurysm. A case report illustrates difficulties with this unusual diagnosis. Lakartidningen. 2005;102(15):1152–1153.
7.
WillinekWAStrunkHBornMRemigJBecherHSchildH. Popliteal venous aneurysm with paradoxical embolization in a patient with patent foramen ovale. Circulation. 2001;104(12):E60–E61.
8.
FrancoGNguyen KhacGNguyen MorèreMC. Significance of Doppler echography of the external saphenous vein. A clinical comparison. Phlebologie. 1990;43(1):135–145.
CarlinRMcGrawDXenosE. Popliteal venous aneurysm leading to massive pulmonary embolus in a child. A case report and literature review. Vasc Surg. 1997;31:463–468.
11.
Kim-GavinoCSVadeALim-DunhamJ. Unusual appearance of a popliteal venous aneurysm in a 16-year-old patient: sonographic findings. J Ultrasound Med. 2006;25(12):1615–1618.
12.
EifertSVillavicencioJLKaoTCTauteBMRichNM. Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance. J Vasc Surg. 2000;31(3):462–471.
13.
IrwinCSynnAKraissLZhangQGriffenMMHunterGC. Metalloproteinase expression in venous aneurysms. J Vasc Surg. 2008;48(5):1278–1285.
14.
AldridgeSCComerotaAJKatzMLWolkJHGoldmanBIWhiteJV. Popliteal venous aneurysm: report of two cases and review of the world literature. J Vasc Surg. 1993;18(4):708–715.
15.
LevMSaphirO. Endophlebohypertrophy and phlebosclerosis. I. The popliteal vein. AMA Arch Pathol. 1951;51(2):154–178.
16.
RousselLTimmermansT. Duplex sonographic findings in a popliteal vein aneurysm. J Belge Radiol. 1990;73(6):501–503.
17.
NorimatsuTAramotoH. Surgical repair for popliteal venous aneurysm causing severe or recurrent pulmonary thromboembolism: three case reports. Ann Vasc Dis. 2015;8(1):56–58.
18.
Nogueira-BarbosaMHEngelEESimaoMNdos SantosACJuniorJE. Giant thrombosed venous aneurysm in the calf: MRI characteristics and the target sign. Clinics (Sao Paulo). 2010;65(3):341–344.
19.
Maldonado-FernandezNLopez-EspadaCMartinez-GamezFJ. Popliteal venous aneurysms: results of surgical treatment. Ann Vasc Surg. 2013;27(4):501–509.
20.
LimJMarshallM. Popliteal vein aneurysm presenting as recurrent pulmonary embolism. J Radiol Case Rep. 2015;9(4):23–27.
