학술논문

Valvar bypass surgery to ameliorate persistent lower limb edema caused by post-thrombotic syndrome: a case report and literature review
Document Type
article
Source
Journal of Cardiothoracic Surgery, Vol 19, Iss 1, Pp 1-5 (2024)
Subject
Chronic venous insufficiency
Post-thrombotic syndrome
Femoral vein
Valvuloplasty
Bypass
Surgery
RD1-811
Anesthesiology
RD78.3-87.3
Language
English
ISSN
1749-8090
Abstract
Abstract 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.