Document Detail

Recurrent bilateral varicose veins secondary to tricuspid regurgitation.
MedLine Citation:
PMID:  20706799     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Varicose veins are a common condition. We present a case of recurrent veins due to tricuspid regurgitation.
CASE HISTORY: A 55-year-old female presented with large bilateral varicosities. On examination these were extensive and pulsatile in nature over both legs. Three and 5 years previously she presented with similar signs and had undergone bilateral venous surgery including Trendelenburg procedure. Past medical history included successful atrial septal defect repair in 1995. Severe tricuspid regurgitation and right heart failure was diagnosed in 2000, followed by annuloplasty 2 years later. Prior to attempting venous surgery the third time an echocardiogram was performed. This demonstrated severe tricuspid regurgitation again and therefore surgery was not undertaken at this time.
DISCUSSION: Concurrent valvular disease should be fully investigated and optimised before consideration is given to surgery, with a multidisciplinary approach being essential in its management.
S A Badger; R R Makar; E W Chew; B Lee
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Publication Detail:
Type:  Journal Article     Date:  2010-08-13
Journal Detail:
Title:  Irish journal of medical science     Volume:  181     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  405-7     Citation Subset:  IM    
Department of Vascular and Endovascular Surgery, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, UK,
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