VENOUS RECONSTRUCTION AFTER IATROGENIC FEMOROILIAC INJURY: CASE REPORT

  • Ricardo Gouveia Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Pedro Brandão Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Victor Martins Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Pedro Sousa Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Jacinta Campos Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Andreia Coelho Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Rita Augusto Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Nuno Coelho Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Alexandra Canedo Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
Keywords: Varicose vein surgery complication, Reconstructive vein surgical procedure, Quality of life

Abstract

Deep venous sector injuries during lower limb varicose vein surgery are rare. They can have serious repercussions in terms of the patient’s quality of life, so reconstructive interventions are strongly recommended. We report a case of a patient referred to our Institution after an extensive lesion of the femoral venous sector. We performed a reconstructive surgery, through mechanical thrombectomy, as he presented an extensive deep vein thrombosis, and by performing an interposition graft bypass. After two years of follow no complications were reported. The patient is asymptomatic, with no significant signs or symptoms of post thrombotic syndrome. The interposition graft is still patent.

References

1. Rudström H, Björck M, Bergqvist D. Iatrogenic vascular injuries in varicose vein surgery: a systematic review. World J Surg. 2007 Jan;31(1):228–33.

2. Marcucci G, Accrocca F, Antonelli R, et al. The management of arterial and venous injuries during saphenous vein surgery. Interact Cardiovasc Thorac Surg. 2008 May;7(3):432–3.

3. Rudström H, Bergqvist D, Björck M. Iatrogenic vascular injuries with lethal outcome. World J Surg. 2013 Aug;37(8):1981–7.

4. Larsen MB, Bækgaard N. Acceptable results after venous reconstructive surgery following iatrogenic injuries to the iliofemoral vein segment. Dan Med J. 2012 Apr;59(4):A4410.

5. Pappas PJ, Haser PB, Teehan EP, et al. Outcome of complex venous reconstructions in patients with trauma. J Vasc Surg. 1997 Feb;25(2):398–404.
Published
2017-11-19
Section
Clinical Case

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