for Congenital Venous Malformations in the Lower Limb
(Department of Cardiovascular Surgery, Kyoto University
Graduate School of Medicine, Kyoto, Japan and Department of Cardiovascular
Surgery, Akane Foundation Tsuchiya General Hospitalüľ, Hiroshima,
|Four patients, 13 to 53 years old,
with congenital venous malformation including Klippel-Trenaunay
syndrome underwent surgical treatment followed by sclerotherapy.
They developed marked dilatation of varicose veins with spots,
and complained of pain, dullness, and bleeding. Two patients
also had hypertrophy of the diseased leg. Phlebography and color
Doppler ultrasonography were performed in all patients to precisely
determine the abnormal vein and incompetent communicating veins
which were then resected and/or ligated with minimal skin incision.
In two patients, additional ligation of incompetent communicating
veins was necessary. One to two weeks after surgical therapy,
sclerotherapy was performed with 1-2% polidocanol. Symptoms improved
after treatment, even in a patient with claudication before operation.
Surgical therapy for congenital venous malformation was feasible
and satisfactory, with the aid of meticulous identification of
abnormal veins and communicating veins by not only phlebography
but color Doppler ultrasonography.
ü@Jpn. J. Cardiovasc. Surg. 29: 68-71(2000)