Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance Sandra Eifert, MD, J.Leonel Villavicencio, MD, Tzu-Cheg.

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Presentation transcript:

Prevalence of deep venous anomalies in congenital vascular malformations of venous predominance Sandra Eifert, MD, J.Leonel Villavicencio, MD, Tzu-Cheg Kao, PhD, Bettina M. Taute, MD, Norman M. Rich, MD Journal of Vascular Surgery Volume 31, Issue 3, Pages 462-471 (March 2000) DOI: 10.1067/mva.2000.101464 Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Congenital vascular malformation of venous predominance with severe involvement of the lymphatic system, which resulted in gross foot deformity. There is a port-wine stain (capillary malformation) on the lateral aspect of the lower limb. The superficial femoral vein is absent in this extremity. This should be classified as a combined vascular malformation. Journal of Vascular Surgery 2000 31, 462-471DOI: (10.1067/mva.2000.101464) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 There is aplasia of the left iliofemoral vein segment demonstrated in the ascending phlebography of this patient with Klippel Trenaunay syndrome. Crossover collateral circulation is clearly seen filling the opposite iliac venous system. There was hemodynamic obstruction and a chronic venous leg ulcer on the lateral aspect of the lower leg. Journal of Vascular Surgery 2000 31, 462-471DOI: (10.1067/mva.2000.101464) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 The diagnosis and treatment of venous aneurysms are shown. The MRI (left upper and lower panels ) demonstrates the depth and extent of the malformation. Phlebography (right upper quadrant ) provides an anatomic localization and morphologic information on size and relationship of the aneurysm with the venous system. The right lower quadrant illustrates the surgical treatment of venous aneurysms, which may consist of total excision or tangential repair. Journal of Vascular Surgery 2000 31, 462-471DOI: (10.1067/mva.2000.101464) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions