Popliteal Vein Aneurysm: Management and Outcomes of Aneurysmectomy With Intersaphenous Vein Grafting

Popliteal vein aneurysms (PVAs) are uncommon yet clinically significant, often leading to severe complications, particularly in patients with chronic venous insufficiency (CVI). We report the case of a 37-year-old male with a prior history of saphenectomy who presented with a left malleolar ulcer. Following comprehensive clinical assessment and imaging studies, a diagnosis of CVI in the affected limb was established. Further diagnostic evaluation with Doppler ultrasound and computed tomography angiography (CTA) identified a PVA. Surgical intervention was planned, consisting of aneurysmectomy followed by venous bypass using an autologous intersaphenous vein graft. The postoperative course was uneventful, with preserved limb function, significant improvement in venous circulation, and no reported complications. This case highlights the importance of early diagnosis and timely surgical management in patients with PVAs, particularly in those with a history of CVI. Aneurysmectomy with autologous vein grafting emerges as a safe and effective therapeutic approach, demonstrating favorable postoperative outcomes.