ANEURISMA VENOSO POPLITEU – RELATO DE 2 CASOS

Resumo

O aneurisma da veia popliteia (AVP) é uma entidada rara mas que comporta um risco importante de trombose venosa profunda (TVP) e consequente tromboembolismo pulmonar (TEP). Uma vez que a anticoagulação não é eficaz na prevenção dessas complicações, a cirurgia é o tratamento indicado pela quase totalidade dos autores. Apresentamos dois casos tratados no nosso serviço que ilustram o caráter pleomórfico desta doença – o primeiro manifestando-se como uma massa popliteia pouco sintomática e o segundo como um quadro semelhante a TVP numa doente cuja mãe falecera por TEP de causa não esclarecida. Ambos foram tratados pela técnica de aneurismectomia com venorrafia lateral, com bom resultado confirmado imagiologicamente ao fim de 6 meses. Fazemos ainda uma discussão com base na literatura. O AVP é uma entidade rara e de etiologia não esclarecida, cuja principal complicação é o TEP. O tratamento cirúrgico é a abordagem de eleição. A técnica cirúrgica utilizada de aneurismectomia com venorrafia lateral apresenta bons resultados e pode ser considerada curativa. Por esses motivos é uma doença a considerar no diagnóstico diferencial quer de massas popliteias quer de fenómenos tromboembólicos de repetição. 

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Publicado
2021-01-20
Como Citar
PEREIRA, António Miguel et al. ANEURISMA VENOSO POPLITEU – RELATO DE 2 CASOS. Revista Portuguesa de Cirurgia, [S.l.], n. 49, p. 66-74, jan. 2021. ISSN 2183-1165. Disponível em: <https://revista.spcir.com/index.php/spcir/article/view/736>. Acesso em: 03 mar. 2021. doi: https://doi.org/10.34635/rpc.736.
Secção
Caso Clínico