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Aneurysma der Vena poplitea als Ursache rezidivierender Lungenarterienembolien mit Reanimationspflichtigkeit

Item Type:Article
Title:Aneurysma der Vena poplitea als Ursache rezidivierender Lungenarterienembolien mit Reanimationspflichtigkeit
Creators Name:Schupfner, B. and Osterziel, K. and Hohenberger, P.
Abstract:History and admission findings: A previously healthy 40-year-old varnisher was admitted because of increasing dyspnoea. His clinical status rapidliy deteriorated. He was referred to a cardiology intensive care unit but had to be resuscitated during transport. His condition became stable under controlled ventilation and analgesics. There were no other contributory abnormal findings. Investigations: The concentration of D-dimers was raised. Pulmonary angiography demonstrated multiple bilateral occlusions of the segmental arteries. Treatment and course: Extubation became possible after thrombolysis with recombinant tissue plasminogen activator (rTPA). There was no evidence of leg or pelvic vein thrombosis. But a hard mass was palpated in the left popliteal fossa and extensively thrombosed saccular aneurysm of the popliteal vein was found. The aneurysm was resected and a venous graft was interposed. There were no further thromboemboli under oral anticoagulation. Two years later the venous graft was occluded with adequate collateral circulation. Conclusion: Aneurysm of the popliteal vein is a rare vascular anomaly of unknown pathogenesis. In patients with repetitive episodes of lung embolism peripheral aneurysms must be taken into consideration.
Keywords:Aneurysm, Cardiopulmonary Resuscitation, Differential Diagnosis, Digital Subtraction Angiography, Magnetic Resonance Imaging, Popliteal Vein, Pulmonary Embolism
Source:Deutsche Medizinische Wochenschrift
ISSN:0012-0472
Publisher:Thieme (Germany)
Volume:127
Number:24
Page Range:1312-1316
Date:1 January 2002
Official Publication:https://doi.org/10.1055/s-2002-32190
PubMed:View item in PubMed

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