Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure
10.5758/vsi.2018.34.4.117
- Author:
Cesar CUEN-OJEDA
1
;
Luis O BOBADILLA-ROSADO
;
Ramon GARCIA-ALVA
;
Luis H ARZOLA
;
Javier E ANAYA-AYALA
;
Carlos A HINOJOSA
Author Information
1. Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutrición “Salvador Zubirán”, Mexico City, Mexico. carlos.a.hinojosa@gmail.com
- Publication Type:Case Report
- Keywords:
Venous bypass;
Retroperitoneal exposure;
Post-thrombotic syndrome
- MeSH:
Female;
Femoral Vein;
Humans;
Iliac Vein;
Lower Extremity;
Middle Aged;
Ulcer;
Venous Thrombosis;
Wounds and Injuries
- From:Vascular Specialist International
2018;34(4):117-120
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
