Management of Symptomatic Venous Aneurysm

Table 1

Patient demographic and characteristic data.

	Sex	Age	Site	Medical history	D-dimer	Symptoms	Absolute size, cm	Histology	Intervention
Case 1	F	32	great saphenous vein	none	0.83 μg/mL	increasing respiratory distress and left thoracic pain	3.1 × 2.9	aneurysm venous wall with endothelial denudation, attenuation of the elastic lamellae and medial fibrosis in areas of thrombus adherence	Ligation/excision
Case 2	M	42	popliteal vein	circulating phospholipid antibodies (aPL)	0.94 μg/mL	acute shortness of breath	3.2 × 3.6	aneurysm venous wall characteristics with focal reduplication of the internal elastic lamina	tangential aneurysmectomy and lateral venorrhaphy
Case 3	M	43	popliteal vein	hypertension	1.21 μg/mL	acute shortness of breath not associated with pleuritic chest pain or hemoptysis	2.9 × 3.6	aneurysm venous wall with thickened, fibrotic, moderately cellular intima adjacent to a densely fibrotic adventitia and rare smooth muscle	resection of venous aneurysm with interposition autologous vein graft
Case 4	M	19	cephalic vein	none	0.42 μg/mL	increasing respiratory distress and right thoracic pain	2.9×3.5	Aneurysm wall with fragmentation, and attenuation of the elastic lamellae, loss of smooth muscle cells,	Ligation/excision
Case 5	M	46	small saphenous vein	Leg varicose vein, CAD	0.63 μg/mL	acute shortness of breath	2.6 × 2.3	characteristics of varix	Ligation/excision
Case 6	M	42	posterior tibial vein	none	0.69 μg/mL	acute shortness of breath	3.2 × 2.6	attenuation of the elastic lamellae, loss of smooth muscle cells	tangential aneurysmectomy and lateral venorrhaphy
Case 7	M	42	popliteal vein	circulating phospholipid antibodies (aPL)	0.89 μg/mL	acute shortness of breath	3.2 × 3.6	aneurysm venous wall characteristics with focal reduplication of the internal elastic lamina	tangential aneurysmectomy and lateral venorrhaphy
Case 8	M	43	popliteal vein	hypertension	1.05 μg/mL	acute shortness of breath not associated with pleuritic chest pain or hemoptysis	2.9 × 3.6	aneurysm venous wall with thickened, fibrotic, moderately cellular intima adjacent to a densely fibrotic adventitia and rare smooth muscle	resection of venous aneurysm with interposition autologous vein graft
Case 9	M	19	cephalic vein	none	0.57 μg/mL	acute shortness of breath	2.9×3.5	Aneurysm wall with fragmentation, and attenuation of the elastic lamellae, loss of smooth muscle cells,	Ligation/excision
Case 10	M	46	small saphenous vein	Leg varicose vein, CAD	0.71 μg/mL	increasing respiratory distress and right thoracic pain	2.6 × 2.3	characteristics of varix	Ligation/excision
Case 11	M	42	popliteal vein	circulating phospholipid antibodies (aPL)	0.82 μg/mL	acute shortness of breath	3.2 × 3.6	aneurysm venous wall characteristics with focal reduplication of the internal elastic lamina	tangential aneurysmectomy and lateral venorrhaphy
Case 12	M	43	popliteal vein	hypertension	1.32 μg/mL	acute shortness of breath not associated with pleuritic chest pain or hemoptysis	2.9 × 3.6	aneurysm venous wall with thickened, fibrotic, moderately cellular intima adjacent to a densely fibrotic adventitia and rare smooth muscle	resection of venous aneurysm with interposition autologous vein graft

CAD: Coronary artery disease.