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Vascular and Endovascular Surgery
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Popliteal Venous Aneurysm Leading to Massive Pulmonary Embolus in a Child

A Case Report and Literature Review

Robert E. Carlin

SUNY Health Science Center, Department of Surgery, Syracuse, NY

Daniel J. McGraw

SUNY Health Science Center, Department of Surgery, Syracuse, NY

Elefterios S. Xenos

SUNY Health Science Center, Department of Surgery, Syracuse, NY

J. Leonel Villavicencio

Department of Surgery, Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, Maryland

Popliteal venous aneurysms are rarely reported but represent a known source for pulmonary emboli. Early diagnosis with prompt excision of the aneurysm and venous reconstruction eliminate the embolic source and prevent long-term sequelae of venous stasis. The authors present the case of a twelve-year-old girl with Klippel-Trenaunay syndrome who presented with a massive pulmonary embolus. Magnetic resonance angiography defined a saccular aneurysm of the popliteal vein, which was confirmed by contrast venography. The patient underwent resection of the venous aneurysm and lateral venorrhaphy. This is the twenty-sixth report in the English-language literature of pulmonary embolism originating from a popliteal venous aneurysm, and the youngest patient to date.

Vascular and Endovascular Surgery, Vol. 31, No. 4, 463-468 (1997)
DOI: 10.1177/153857449703100409
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