Introduction: True aneurysmal degeneration of the great saphenous vein (GSV) is unusual. We report a case of venous thromboembolism due to a large GSV aneurysm.
Case report: A 59-year old man presented with a painful left groin lump. The patient had 7 years prior a diagnosis of a GSV aneurysm. During that period of time, he was not offered surgical treatment and eventually suffered an episode of symptomatic pulmonary embolism. Doppler ultrasound exam revealed a 4-cm GSV aneurysm. Aneurysmectomy was performed uneventfully.
Discussion and conclusions: Aneurysmal GSV degeneration is a relatively rare occurrence and has been infrequently described. Its described management strategies are varied but in most it seems that excision with SFJ ligation would be the most safe and effective therapeutic option. Further studies are needed.
Leon LR, Labropoulos N, Vazquez F and Pacanowski JP