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| Item Type: | Article |
|---|---|
| Title: | Aneurysma der Vena poplitea als Ursache rezidivierender Lungenarterienembolien mit Reanimationspflichtigkeit |
| Creators Name: | Schupfner, B., 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 |
| 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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