Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure

Autor: Cesar Cuen-Ojeda, Luis O Bobadilla-Rosado, Ramon Garcia-Alva, Luis H. Arzola, Javier E. Anaya-Ayala, Carlos A. Hinojosa
Jazyk: English<br />Korean
Rok vydání: 2018
Předmět:
Zdroj: Vascular Specialist International, Vol 34, Iss 4, Pp 117-120 (2018)
Druh dokumentu: article
ISSN: 2288-7970
DOI: 10.5758/vsi.2018.34.4.117
Popis: The endovascular recanalization of the iliocaval system has replaced venous surgical reconstructions as the primary treatment option in severe post-thrombotic syndrome (PTS). We herein present a 51-year-old female with previous deep venous thrombosis, complicated with PTS with a large and complex circumferential calf ulcer measuring 25 cm of length in the left lower extremity. Venogram revealed a complete and extensive occlusion in the left iliofemoral system. A surgical bypass from the left common femoral vein to the right common iliac vein was performed. Patient recovered well and after 12 months postoperation her large wound is healing favorably with a clean and well granulated bed. Iliofemoral venous bypass is a feasible treatment for non-healing ulcer of lower extremity.
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