Valvar Bypass Surgery to Ameliorate Stubborn Lower Limb Edema Caused by Post- Thrombotic Syndrome: A Case Report and Literature Review

Author:

Wang Yanyang1,Zhao Liang1,Zhang Jie1,Du Yali1,Chen Jianfeng2,Wu Yingfeng1

Affiliation:

1. Beijing Luhe Hospital Affiliated to Capital Medical University

2. Xuan Wu Hospital of the Capital Medical University

Abstract

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

Publisher

Research Square Platform LLC

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