Korean J Thorac Cardiovasc Surg.  2017 Apr;50(2):133-136. 10.5090/kjtcs.2017.50.2.133.

Prosthetic Grafting and Arteriovenous Fistula for the Surgical Management of a Common Femoral Vein Injury Using a Staged Approach

• Son KH
• Lee SY
• Kang JM
• Choi CH
• Park KY
• Park CH

• KMID: 2381923
• DOI: http://doi.org/10.5090/kjtcs.2017.50.2.133

Abstract

A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged procedure. During the first stage, a ringed polytetrafluoroethylene graft was used to repair the common femoral vein, and an arteriovenous fistula was constructed from the femoral artery to the graft using a short segment of cephalic vein to increase graft patency. The edema was relieved postoperatively and the graft was patent. During the second stage, which was performed 6 months later, the fistula was occluded by coil embolization. The staged procedure described herein provides an alternative for venous reconstruction when autologous vein is unavailable.

Keyword

Femoral vein; Injuries; Varicose veins; Surgery, complications

MeSH Terms

Adult
Arteriovenous Fistula*
Edema
Embolization, Therapeutic
Female
Femoral Artery
Femoral Vein*
Fistula
Humans
Lower Extremity
Phlebography
Polytetrafluoroethylene
Saphenous Vein
Thigh
Thrombosis
Transplants*
Varicose Veins
Veins
Polytetrafluoroethylene