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A Journal on Phlebology

Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2001 April;2(1):39-42

language: English, Italian

Anomalous con­flu­ence of the ante­ro-lat­er­al acces­so­ry saph­e­nous ­vein. Case ­report

Serpieri G., Tagliabue P., Maggi G. M.

Centro Patologia dell’Immagine - Torino


It is a fre­quent find­ing the pres­ence of ­thigh and leg var­i­cose ­veins fed by val­vu­lar incom­pe­tence of the Antero-Lateral Accessory Saphenous Vein (­ALASV), iso­lat­ed or asso­ciat­ed ­with val­vu­lar incom­pe­tence of the saphe­no-femo­ral junc­tion and trun­cal incom­pe­tence of the Long Saphenous Vein (LSV).The ultra­son­o­graph­ic diag­nos­tic inves­ti­ga­tion ­with Color-cod­ed Duplex scan­ning (CD) ­allows to ­easy ­point out the ­exact ­site giv­ing ­rise to the ­reflux and its dis­tri­bu­tion ter­ri­to­ry: a cor­rect ther­a­peu­tic deci­sion-mak­ing is so pos­sible. In ­fact, accord­ing to the ­site and ­type of the func­tion­al alter­a­tion ­found, it ­will be cho­sen a sur­gi­cal treat­ment or the scle­ro­ther­a­py (­even echos­cle­ro­ther­a­py). It is nev­er­the­less ­world-­wide ­well-­known the ­large ana­tom­i­cal var­i­abil­ity of the saphe­no-femo­ral junc­tion, ­with the pos­sibil­ity of anom­a­lous con­flu­ence of the LSV or its col­lat­er­als ­into the Common Femoral Vein (CFV). The authors ­report a par­tic­u­lar ­case of anom­a­lous con­flu­ence of the ­ALASV ­into the CFV, feed­ing an ante­ri­or var­i­cose ­vein of the ­thigh, sur­gi­cal­ly treat­ed.

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