Popliteal vein aneurysm with recurrent pulmonary thromboemboli

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Abstract
PULMONARY thromboembolism has been the subject of excellent reviews.1-3In none of these, however, could we find mention of peripheral venous aneurysm as an underlying cause of this disorder. We report such a case. Report of a Case A 59-year-old housewife was brought to the emergency room because of a sudden onset of severe pain in her left leg, which was preceded by dyspnea of two days' duration. She appeared lethargic and cyanotic. Her blood pressure was 140/90 mm Hg, her pulse rate was 120 beats per minute with frequent premature ventricular contractions, and her respirations were 16/min. Her left leg was pallid, cool, and pulseless beyond the femoral level. Although a popliteal artery embolus was diagnosed immediately, embolectomy was deferred until her cardiopulmonary status had been further clarified and stabilized. On admission to the ward, her hematocrit reading was 41% and her leukocyte count was 11,300/cu mm, with

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