Document Detail


Congenital venous valvular aplasia of the lower extremities.
MedLine Citation:
PMID:  3336868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 10-year-old girl had bilateral, symmetrical swelling of the lower extremities, which had been present since the age of 1 year. Noninvasive vascular laboratory measurements of the ambulatory venous pressure, venous recovery time, and maximum venous outflow revealed profound bilateral lower extremity venous valvular incompetence. Duplex imaging of the veins of the lower extremities demonstrated no evidence of thrombosis, and no venous valves could be imaged. On phlebography, the patient was found to have no venous valves in the superficial and deep systems of the leg. We conclude that congenital absence of the venous valves of the lower extremities is almost certainly underdiagnosed and that the vascular laboratory can accurately and easily differentiate between lymphedema and venous valvular imcompetence. Such differentiation may have therapeutic implications.
Authors:
E I Friedman; L M Taylor; J M Porter
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Surgery     Volume:  103     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1988 Jan 
Date Detail:
Created Date:  1988-02-04     Completed Date:  1988-02-04     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  24-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Oregon Health Sciences University, Portland, Ore. 97201.
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MeSH Terms
Descriptor/Qualifier:
Child
Diagnostic Errors
Female
Humans
Leg / blood supply*
Lymphedema / congenital,  diagnosis
Phlebography
Veins / abnormalities*
Venous Insufficiency / congenital,  etiology,  physiopathology
Venous Pressure
Grant Support
ID/Acronym/Agency:
RR00334/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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