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

J Cardiothorac Surg

Department of Vascular Surgery, Luhe Hospital, Capital Medical University, No. 82 Xinhua South Road, Tongzhou District, Beijing, 101199, China.

Published: March 2024

AI Article Synopsis

  • Obstruction and reflux during venous emptying can worsen chronic venous insufficiency (CVI), leading to complications like edema.
  • The case study details a patient with chronic CVI and persistent edema due to post-thrombotic syndrome, who successfully underwent femoral vein valve therapy after an unsuccessful initial surgery.
  • Over 12 months, the patient's condition improved significantly, indicating that this surgical option might be viable for other patients with similar issues, though it's rarely reported in existing literature.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10956340PMC
http://dx.doi.org/10.1186/s13019-024-02601-5DOI Listing

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