Valvar bypass surgery to ameliorate persistent lower limb edema caused by post-thrombotic syndrome: a case report and literature review

J Cardiothorac Surg. 2024 Mar 21;19(1):150. doi: 10.1186/s13019-024-02601-5.

Abstract

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

Keywords: Bypass; Chronic venous insufficiency; Femoral vein; Post-thrombotic syndrome; Valvuloplasty.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Edema / etiology
  • Femoral Vein / surgery
  • Humans
  • Lower Extremity / blood supply
  • Venous Insufficiency* / surgery