was lower than postintervention VCSS for both groups, but there was no significant difference between those who were treated with iliocaval stenting alone and those who had additional GSV ablation (3.6 6 1.1 seconds from 7.8 6 0.4 seconds and 3.7 6 1.3 seconds from 7.6 6 0.5 seconds [P ¼ .769], respectively; Fig). Conclusions: Iliocaval segment interrogation and intervention alone may be sufficient to treat patients with combined significant reflux of both CFV and GSV. Evaluation of possible underdiagnosed iliocaval disease is recommended before intervention is pursued for leg superficial venous reflux disease.
Chylopericardium is a rare condition that is characterized by the presence of chyle in the pericardial space due to idiopathic (primary) or secondary causes. We present a 43-year-old female with hypothyroidism and left lower extremity sarcoma which were treated with resection and adjuvant chemoradiotherapy that was found with moderate pericardial effusion in surveillance tests. The patient was initially treated with tube thoracostomy and conservative management but presented with recurrence. Eventually, she was treated with left thoracotomy, ligation of the thoracic duct and pericardiectomy.
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