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Updated: June 21, 2025
Varicose aneurysm usually develops in relation to a traumatic aneurysm, the sac becoming adherent to an adjacent vein, and ultimately opening into it. In this way a communication between the artery and the vein is established, and the clinical features are those of a combination of aneurysm and aneurysmal varix.
Experience shows that ligation of the vein, or even the removal of a portion of it, is not necessarily followed by gangrene. The risk of gangrene is diminished by a course of digital compression of the femoral artery, before operating on the aneurysm. Aneurysmal varix is sometimes met with in the region of the popliteal space.
The arteries were also distorted and could be felt pulsating all over the limb. The patient died at thirty from rupture of the aneurysm. Abbe shows a peculiar aneurysmal varix of the finger in a boy of nine. When a babe the patient had, on the dorsum of the little finger, a small nevus, which was quiescent for many years.
We have employed this method with satisfactory results. The treatment of the complications of varix has already been considered. In the description of angiomas we have followed the teaching of the late John Duncan. Tumours of blood vessels may be divided, according to the nature of the vessels of which they are composed, into the capillary, the venous, and the arterial angiomas.
When the varix is of long standing, the skin in the lower part of the leg sometimes assumes a mahogany-brown or bluish hue, as a result of the deposit of blood pigment in the tissues, and this is frequently a precursor of ulceration. The incompetence of the valves allows the pressure in the varicose veins to equal that in the arterioles, so that the capillary circulation is impeded.
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