| Title | Popliteal Venous Aneurysm Causing Pulmonary Embolism and Paradoxical Embolisation in a Patient with Antiphospholipid Syndrome. |
| Author(s) | Williamson JM, Dalton RS, Chester JF |
| Institution | Taunton and Somerset Hospital, Taunton, UK. |
| Source | Eur J Vasc Endovasc Surg 2008 May 14. |
| Abstract | INTRODUCTION: Popliteal venous aneurysms are rare and can cause recurrent pulmonary emboli despite adequate anticoagulation. REPORT: A 43-year old patient with known antiphospholipid syndrome developed an extensive pulmonary embolus and ischaemic stroke despite anticoagulation. Duplex ultrasound confirmed a right popliteal venous aneurysm containing non-adherent multi-layered thrombus. At operation an 8cmx5cm true aneurysm of the popliteal vein was excised. A postoperative echocardiogram revealed a patent foramen ovale.
DISCUSSION: This case is unusual as the patient suffered a paradoxical embolism due to his patent foramen ovale. Although antiphospholipid syndrome is associated with venous thrombosis, this is usually prevented by therapeutic anticoagulation. |
| Language | ENG |
| Pub Type(s) | JOURNAL ARTICLE
|
| PubMed ID | 18485755 |
