Pulsatile varicose veins caused by tricuspid valve regurgitation

Papavassiliou, V.; Argitis, V.; Xanthopoulos, D. K.; Loupou, Caterini; Dervisis, C. I.; Arvanitis, Dimitrios P.

doi:10.1258/0268355054985811

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“…Some authors recommend conservative management with compression therapy and elevated position of affected extremity or even the nontreatment strategy with close follow-up of the patient. 2 However, in selected cases, as in our patient, PVV can be complicated with venous ulcer resistant to conservative treatment. Moreover, the recurrent venous bleeding from the ulcer or varicose veins can become life-threatening conditions.…”

Section: Discussionmentioning

confidence: 60%

Surgical treatment of severe chronic venous insufficiency caused by pulsatile varicose veins in a patient with tricuspid regurgitation

2009

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A case of severe chronic venous insufficiency caused by pulsatile varicose veins in a 46-year-old man with tricuspid regurgitation is presented. Active venous leg ulcer complicated with recurrent venous bleeding and inefficacy of conservative management serve as indications for surgical treatment. This case demonstrates the possibility of radical surgical correction of pathological venous reflux by means of saphenofemoral ligation, foam sclerotherapy and subfascial endoscopic perforator surgery.

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Section: Discussionmentioning

confidence: 60%