Popliteal venous aneurysms are rarely reported but represent a potenti
ally life-threatening condition requiring accurate diagnosis and surgi
cal resection. Newer techniques including magnetic resonance imaging,
computed tomography, and color flow duplex imaging offer new noninvasi
ve methods to define popliteal fossa venous abnormalities. Excision of
the aneurysm with venous reconstruction removes the embolic source an
d maintains prograde venous flow. A posterior surgical approach to the
popliteal fossa is recommended to facilitate exposure. Early control
of venous outflow is needed to avoid thromboembolism. This report desc
ribes the diagnosis and treatment of popliteal venous aneurysms in thr
ee patients with a review of the English-language literature.