关键词: Bypass Chronic venous insufficiency Femoral vein Post-thrombotic syndrome Valvuloplasty

Mesh : Humans Venous Insufficiency / surgery Femoral Vein / surgery Lower Extremity / blood supply Edema / etiology

来  源:   DOI:10.1186/s13019-024-02601-5   PDF(Pubmed)

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.
摘要:
静脉排空过程中的阻塞和/或反流损害可以促进慢性静脉功能不全(CVI)的不同病理生理。我们介绍了一个由血栓后综合征(PTS)引起的持续性下肢CVI水肿的患者,在瓣膜成形术不成功后,通过腋下静脉旁路对股静脉瓣膜治疗反应良好,过着正常的生活.在12个月的观察期间,桥接血管完全恢复了原始解剖结构。在文学研究中,没有类似手术的报道,但是我们表明,这种手术在选定的患者中可能是可行的。
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