A 55 year old man presented with bilateral groin masses observed when standing, but which disappeared when lying down. Computed tomography angiography, confirmed by Duplex ultrasound, demonstrated two large common femoral vein aneurysms (CFVA) without great saphenous vein varicosities. The right CFVA was treated first by open tangential resection and lateral venorrhaphy. The next day, the patient developed massive pulmonary embolism despite therapeutic anticoagulation. Caval filter placement and left CFVA venorrhaphy were performed with open pulmonary embolectomy under extracorporeal circulatory bypass. Residual thrombus was found in left CFVA that might account for pulmonary embolism. The post-operative course was uneventful afterwards.
Article info
Publication history
Published online: March 19, 2017
Accepted:
February 17,
2017
Received:
February 13,
2017
Identification
Copyright
© 2017 European Society for Vascular Surgery. Published by Elsevier Ltd.
User license
Elsevier user license | How you can reuse 
Elsevier's open access license policy
Elsevier user license
Permitted
For non-commercial purposes:
- Read, print & download
- Text & data mine
- Translate the article
Not Permitted
- Reuse portions or extracts from the article in other works
- Redistribute or republish the final article
- Sell or re-use for commercial purposes
Elsevier's open access license policy
ScienceDirect
Access this article on ScienceDirectRelated Articles
Comments
Commenting Guidelines
To submit a comment for a journal article, please use the space above and note the following:
- We will review submitted comments as soon as possible, striving for within two business days.
- This forum is intended for constructive dialogue. Comments that are commercial or promotional in nature, pertain to specific medical cases, are not relevant to the article for which they have been submitted, or are otherwise inappropriate will not be posted.
- We require that commenters identify themselves with names and affiliations.
- Comments must be in compliance with our Terms & Conditions.
- Comments are not peer-reviewed.
30132-6&id=fx1.jpg){kind=link}