Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


_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.


As there is little tendency to spontaneous cure, and as the aneurysm is
liable to increase in size and finally to rupture, operative treatment
is usually called for. This is carried out on the same lines as for
aneurysmal varix, and at the same time incising the sac, turning out the
clots, and ligating any branches which open into the sac. If it can be
avoided, the vein should not be ligated.

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