Valvar bypass surgery to ameliorate persistent lower limb edema caused by post-thrombotic syndrome: a case report and literature review

Obstruction and/or reflux compromise during venous emptying can facilitate different pathophysiologies in chronic venous insufficiency (CVI). We present a patient with persistent lower limb CVI edema caused by post-thrombotic syndrome (PTS), who responded well to femoral vein valve therapy via axill...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2024-03, Vol.19 (1), p.150-150, Article 150
Main Authors: Wang, Yanyang, Zhao, Liang, Zhang, Jie, Du, Yali, Chen, Jianfeng, Wu, Yingfeng
Format: Article
Language:English
Subjects:
Anatomical structures
Blood clots
Blood vessels
Bypass
Case Report
Case reports
Chronic venous insufficiency
Compression therapy
Dropsy
Edema
Edema - etiology
Femoral vein
Femoral Vein - surgery
Hospitals
Humans
Hypertension
Literature reviews
Lower Extremity - blood supply
Pain
Patients
Post-thrombotic syndrome
Rivaroxaban
Skin
Substance abuse treatment
Surgery
Thrombosis
Transplants & implants
Trauma
Ultrasonic imaging
Valves
Valvuloplasty
Varicose veins
Veins
Venous Insufficiency - surgery
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Summary:Obstruction and/or reflux compromise during venous emptying can facilitate different pathophysiologies in chronic venous insufficiency (CVI). We present a patient with persistent lower limb CVI edema caused by post-thrombotic syndrome (PTS), who responded well to femoral vein valve therapy via axillary vein bypass after unsuccessful valvuloplasty, and led a normal life. During a 12 month observation period, bridging vessels completely restored original anatomical structures. In a literature study, no similar surgeries were reported, but we show that this operation may be feasible in selected patients.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-024-02601-5