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The Scientific World Journal
Volume 2012 (2012), Article ID 386478, 6 pages
http://dx.doi.org/10.1100/2012/386478
Clinical Study

Management of Symptomatic Venous Aneurysm

1Department of Vascular Surgery, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy
2Department of Oncology, Policlinico Umberto I, Sapienza University of Rome, 00161, Italy

Received 17 October 2011; Accepted 13 December 2011

Academic Editors: E. Ishimura and P. Quax

Copyright © 2012 Roberto Gabrielli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.