Re. Carlin et al., POPLITEAL VENOUS ANEURYSM LEADING TO MASSIVE PULMONARY EMBOLUS IN A CHILD - A CASE-REPORT AND LITERATURE-REVIEW, Vascular surgery, 31(4), 1997, pp. 463-468
Popliteal venous aneurysms are rarely reported but represent a known s
ource for pulmonary emboli, Early diagnosis with prompt excision of th
e aneurysm and venous reconstruction eliminate the embolic source and
prevent long-term sequelae of venous stasis, The authors present the c
ase of a twelve-year-old girl with Klippel-Trenaunay syndrome who pres
ented with a massive pulmonary embolus. Magnetic resonance angiography
defined a saccular aneurysm of the popliteal vein, which was confirme
d by contrast venography. The patient underwent resection of the venou
s aneurysm and lateral venorrhaphy. This is the twenty-sixth report in
the English-language literature of pulmonary embolism originating fro
m a popliteal venous aneurysm, and the youngest patient to date.