Vasc Spec Int.  2018 Dec;34(4):117-120. 10.5758/vsi.2018.34.4.117.

Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure

Affiliations
  • 1Department 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

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.

Keyword

Venous bypass; Retroperitoneal exposure; Post-thrombotic syndrome

MeSH Terms

Female
Femoral Vein
Humans
Iliac Vein
Lower Extremity
Middle Aged
Ulcer
Venous Thrombosis
Wounds and Injuries
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