Open AccessPhysiologic and Therapeutic Aspects in Congenital Vein Valve Aplasia of the Lower Limb
Author(s) -
Gunnar Pláte,
Lars Brudin,
B Eklöf,
Ragnar Jensen,
Per Ohlin
Publication year - 1983
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198308000-00020
Subject(s) - medicine , aplasia , varicose veins , reflux , surgery , vein , ambulatory , orthostatic vital signs , lower limbs venous ultrasonography , foot (prosody) , deep vein , venous valves , blood pressure , thrombosis , linguistics , philosophy , disease
Ten patients with congenital vein valve aplasia verified at contrast phlebography were evaluated clinically and by physiologic examinations. All had orthostatic edema and varicose veins, but leg ulcers and other "postphlebitic" sequelae were infrequent. Foot volumetry and measurement of ambulatory foot vein pressures revealed a severe deep venous incompetence with a defective muscle pump function and considerable reflux. Eight limbs were operated on with conventional varicose vein surgery and physiologically re-examined six to 26 weeks after the operation. All had an improved ambulatory pressure reduction (p less than 0.001). Foot volumetry revealed better muscle pump function (p less than 0.01), while the reflux flow was unchanged. Surgery of the incompetent superficial venous system is therefore recommended in cases with deep venous insufficiency due to congenital vein valve aplasia.