The surgical treatment of ilio-femoral venous obstruction.
METHODS
A series of 9 patients of a mean age of 48 years, operated on for compression of the ilio-femoral venous axis is reported. The cause of obstruction was external compression in 3 cases, a retroperitoneal sarcoma in 1 case, and an infrarenal aortic aneurysm in 2. Two patients presented with a Cockett's syndrome, 3 with a chronic ilio-femoral thrombosis, and one with a post-traumatic segmentary stenosis. Treatment consisted in a resection/Dacron grafting of 2 infrarenal aortic aneurysms, one femoro-caval bypass graft, 2 transpositions of the right common iliac artery in the left hypogastric artery for Cockett's syndrome, 3 Palma's operations for chronic thrombosis, and one internal jugular vein interposition for segmentary stenosis.


RESULTS
There were no postoperative deaths and no early thromboses of venous reconstructions performed. All the patients were relieved of symptoms during the follow-up period, whose mean length was 38 months.


CONCLUSIONS
The cause of venous obstruction and the presence of symptoms which are resistant to medical treatment are the main indications to ilio-femoral venous revascularization. The choice of the optimal treatment in each single case yields satisfactory results.
Illuminati
G
G
Università degli Studi di Roma La Sapienza, Dipartimento di Scienze Chirurgiche e Tecnologie Mediche Applicate, U.O. Chirurgia Generale e Toracica - IV Clinica Chirurgica, Azienda Policlinico Umberto I. giulio.illuminati@uniroma1.it
Caliò
F G
FG
D'Urso
A
A
Mancini
P
P
Papaspyropoulos
V
V
Ceccanei
G
G
Lorusso
R
R
Vietri
F
F
D000328:Adult; D000368:Aged; D005260:Female; D005268:Femoral Vein / Q000601:surgery*; D006801:Humans; D007084:Iliac Vein / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014652:Vascular Diseases / Q000601:surgery