Pulsatile Varicose Veins Secondary to Severe Tricuspid Regurgitation: Report of a Case Successfully Managed by Endovenous Laser Treatment.
We report a case of pulsatile varicose veins successfully managed by endovenous laser treatment (EVLT) of the great saphenous vein (GSV). A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer of her left lower leg. Doppler echocardiography showed severe tricuspid regurgitation, and duplex ultrasonography revealed an arterial-like pulsating flow in the saphenofemoral junction and along the GSV, but an arteriovenous fistula, obstruction of the deep veins, and the distal incompetent perforators were not detected. Because of a significant bleeding risk due to elevated venous pressure and anticoagulant therapy, EVLT was performed for the GSV, which resulted in the complete occlusion of the GSV and healing of the ulcer. EVLT presents a safe and useful therapeutic technique for pulsatile varicose veins in the limbs.
Department of Vascular Surgery, Saiseikai Futsukaichi Hospital, Chikushino, Fukuoka, Japan. Electronic address: chihara21-29@buz.bbiq.jp.
Shingo
S
Chihara
Department of Vascular Surgery, Saiseikai Futsukaichi Hospital, Chikushino, Fukuoka, Japan.
Kentaro
K
Sawada
Department of Vascular Surgery, Saiseikai Futsukaichi Hospital, Chikushino, Fukuoka, Japan.
Hiroshi
H
Tomoeda
Department of Cardiovascular Surgery, St. Mary's Hospital, Kurume, Fukuoka, Japan.
Shigeaki
S
Aoyagi
D000368:Aged; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D053685:Laser Therapy; D011673:Pulsatile Flow; D012039:Regional Blood Flow; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D018616:Ultrasonography, Doppler, Duplex; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014945:Wound Healing