Pulsatile varicose veins

Blackett, R. L.; Heard, Gordon

doi:10.1002/bjs.1800750911

Cited by 18 publications

(12 citation statements)

References 3 publications

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“…Ligation of the sapheno‐femoral junction is a recognised option for venous hypertension 7 . In our series, sapheno‐femoral junction ligation was the initial management plan in all three cases.…”

Section: Discussionmentioning

confidence: 69%

“…The common misdiagnosis of arterio‐venous malformation can lead to surgical exploration without considering a diagnosis of heart failure 2,7 . A clinical test of compression of the sapheno‐femoral junction resulting in elimination of the venous pulsation would differentiate lower limb arterio‐venous fistula from retro transmission of pulses in cases of severe TR.…”

Section: Discussionmentioning

confidence: 99%

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Pulsating Varicose Veins!! The Diagnosis Lies in the Heart

Abbas

Hamilton

Yahya

et al. 2006

ANZ Journal of Surgery

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Right heart failure is associated with increased systemic venous pressure, which can be diagnosed clinically with the findings of elevated jugular venous pressure, pulsatile liver and distinctive cardiac murmurs (precordial systolic). Severe tricuspid regurgitation (TR) has occasionally been known to lead to marked pulsation of varicose veins. We report three cases that were referred to the vascular clinic of Royal Perth Hospital in which the patients involved had unilateral (right leg) varicose veins and chronic venous ulcers. On clinical examination all three patients had pulsations along the course of the varicose long saphenous vein up to the mid calf. The main differential diagnosis was arterio-venous malformation, which was excluded by compression of the sapheno-femoral junction and demonstrating absence of pulsation in the long saphenous vein. A venous duplex scan showed a grossly incompetent sapheno-femoral junction with abnormal wave forms. Two of the cases were managed conservatively with compression dressing. The option of sapheno-femoral junction ligation was reserved in one patient who had unsettling cellulitis and oedema of the lower limb in spite of compression dressing and optimal conservative management. All three patients had improvement in ulcer size at 3-month follow up with compression therapy. This article highlights that in cases of right heart failure the venous pressures can be felt as low as the mid calf level and that can be a cause of the venous ulcers. There should be a high suspicion of right heart failure in patients with late onset venous insufficiency.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Pulsating Varicose Veins!! The Diagnosis Lies in the Heart

Abbas

Hamilton

Yahya

et al. 2006

ANZ Journal of Surgery

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show abstract

“…Blackett and Heard (9) suggested that it should be possible to exclude an AVF by the absence of a bruit. However, Hollins and Engeset (8) reported a case where the patient had a continuous audible bruit overlying the sapheno‐femoral junction, but surgical exploration revealed no evidence of fistula, thus concluding that although the absence of a bruit may help to exclude a fistula, the presence of a bruit did not exclude a cardiac cause.…”

Section: Discussionmentioning

confidence: 99%

Severe tricuspid regurgitation presenting with lower limb venous haemorrhage

Saithna

Scriven

2008

International Journal of Clinical Practice

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“…Whatever the reason, articles on this subject have appeared only occasionally since Teufl's report in 1936. 7,8,[17][18][19][20] That might explain why many physicians today are like I was in 1978generally clueless about pulsating peripheral veins.…”

Section: Bolstering the Connectionmentioning

confidence: 99%

The Tricuspid Insufficiency—Pulsating Varicocele Connection: A Syndrome and Its History

Fred

2017

Texas Heart Institute Journal

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Pulsatile varicose veins

Cited by 18 publications

References 3 publications

Pulsating Varicose Veins!! The Diagnosis Lies in the Heart

Pulsating Varicose Veins!! The Diagnosis Lies in the Heart

Severe tricuspid regurgitation presenting with lower limb venous haemorrhage

The Tricuspid Insufficiency—Pulsating Varicocele Connection: A Syndrome and Its History

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