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Aneurysma der Vena poplitea als Quelle einer Lungenembolie

Pulmonary embolism secondary to an aneurysm of the popliteal vein

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Summary

A case of pulmonary embolism secondary to a clinically unsuspected aneurysm of the popliteal vein is presented. The importance of venography in establishing the source of pulmonary emboli is stressed in comparison to other diagnostic investigations such as ultrasonography, computed tomography or pletysmography. The aneurysm was suitable for local venous reconstruction. Previously reported cases are reviewed, etiology, diagnosis and treatment of this uncommon condition are discussed.

Zusammenfassung

Eine Patientin mit Pulmonalembolien ausgehend von einem klinisch unauffälligen Aneurysma der Vena poplitea wird beschrieben. Die Bedeutung der Venographie bei der Suche nach der Emboliequelle wird unterstrichen und mit anderen Untersuchungsmethoden wie Ultrasonographie, Computertomographie oder Plethysmographie verglichen. Im beschriebenen Fall gelang es, das venöse Aneurysma durch Teilresektion chirurgisch auszuschalten. Die bisher in der Literatur bekannten aetiologischen, diagnostischen und therapeutischen Gesichtspunkte werden diskutiert.

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Weimann, S., Sandbichler, P. & Flora, G. Aneurysma der Vena poplitea als Quelle einer Lungenembolie. Langenbecks Arch Chiv 367, 107–112 (1986). https://doi.org/10.1007/BF01259259

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  • DOI: https://doi.org/10.1007/BF01259259

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