Background

Venous aneurysms (VA) are often underestimated as a dangerous vascular condition that can lead to fatal complications. We have adopted a more aggressive surgical approach to treatment of venous aneurysms that seems to be safe and effective, and report herein the results of this approach.

Methods

A retrospective analysis of patients presented with VA between January 2013, and January 2018.

Results

We identified 13 VA in 13 patients. The mean patient age was 21.6 years (range, 7-42 years). Six patients were male (46.2%) and seven were female (53.8%). All patients presented with swellings in different areas, mostly in the neck (nine patients [69.2%]). Two patients had a short saphenous vein aneurysm complicated with paresthesia (15.3%). All patients underwent surgical correction. Tangential excision was done for noncomplicated saccular aneurysms (six patients [46.2%]), whereas ligation and excision were done for fusiform aneurysms (five patients) and two saccular aneurysms presenting with thrombosis (53.8%). No signification complications were noted.

Conclusions

Surgical treatment of venous aneurysms is safe and may help to avoid possible pulmonary embolism.

中文翻译：

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静脉瘤的外科治疗。

背景

静脉动脉瘤（VA）通常被低估为可能导致致命并发症的危险血管疾病。我们采用了一种更具侵略性的手术方法来治疗静脉瘤，该方法似乎是安全有效的，并在此报告了该方法的结果。

方法

回顾性分析2013年1月至2018年1月期间出现VA的患者。

结果

我们在13例患者中鉴定出13 VA。患者平均年龄为21.6岁（范围7-42岁）。男性6例（46.2％），女性7例（53.8％）。所有患者在不同区域出现肿胀，大部分在颈部（9例[69.2％]）。两名患者隐静脉短动脉瘤伴感觉异常（15.3％）。所有患者均接受手术矫正。对非复杂性囊状动脉瘤进行切线切除（6例[46.2％]），而对于梭状动脉瘤（5例）和两个有血栓形成的囊状动脉瘤进行结扎和切除（53.8％）。没有发现明显的并发症。

结论

静脉动脉瘤的手术治疗是安全的，可以帮助避免可能的肺栓塞。