Abstract
A serious sequela of iliofemoral thrombophlebitis is the development of ambulatory venous hypertension and venous stasis in the affected extremity. This occurs as the result of destruction or incompetency of critical valves in, or permanent occlusion of, the iliofemoral vein. If left unchecked for several years, venous hypertension will eventually be responsible for the appearance of the postphlebitic syndrome, a condition characterized by combinations of pain, dilated and varicose veins, persistent swelling, pigmentation, chronic indurated cellulitis, increased sympathetic tone, stasis dermatitis, and stasis ulceration. The clinical picture resembles that produced by prolonged pooling of blood in the superficial veins of the lower limbs due to primary varicosities, except that the manifestations are much more severe.
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References
Arnoldi CC: The venous return from the lower leg in health and in chronic venous insufficiency: A synthesis. Acta Orthop Scand (Suppl) 164: 1, 1964
Bauer G: The long-term effect of popliteal ligation in 136 cases of severe bursting lower leg pain and oedema. J Cardiovasc Surg 6: 366, 1965
Fischer H, Schneider W: Phlebologie heute. Fortschr Med 87: 1001, 1969
Frileaux C, Pillot-Bienayme P, Gillot C: Bypass of segmental obliterations of ilio-femoral venous axis by transposition of saphenous vein. J Cardiovasc Surg 13: 409, 1972
Haeger K, Sandberg I: Zur operativen Behandlung der tiefen Veneninsuffizienz. Zentralbl Phlebol 5: 93, 1966
Husni EA: Venous reconstruction in postphlebitic disease. Circulation 43 (Suppl 1): 147, 1971
Kistner RL: Surgical repair of the incompetent femoral vein valve. Arch Surg 110: 1336, 1975
May R, Brinkmann H, Peters D: Lichtmikrosko-pische Betrachtungen an operativ entfernten Lumbalganglien des menschlichen Grenzstranges beim postthrombotischen Zustands bild. Zentralbl Phlebol 9: 2, 1970
May R, Nissl R: The post-thrombotic syndrome. In May R (ed): Surgery of the Veins of the Leg and Pelvis. Philadelphia, Saunders, 1979, Chap 6
Negus D: Calf pain in the post-thrombotic syndrome. Br Med J 2: 156, 1968
Netzer CO: Die Strömungsverhältnisse beim postthrombotischen Zustandsbild. In Kappert A, May R (eds): Das postthrombotische Zustandsbild der Extremitäten. Bern, Huber, 1968
Nielubowicz J, Szostek M: Recurrences after Linton flap operation. J Cardiovasc Surg 20: 49, 1979
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© 1981 Springer-Verlag New York Inc.
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Abramson, D.I., Miller, D.S. (1981). Vascular Complications of Musculoskeletal Disorders Produced by Trauma. In: Vascular Problems in Musculoskeletal Disorders of the Limbs. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5862-9_20
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DOI: https://doi.org/10.1007/978-1-4612-5862-9_20
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-5864-3
Online ISBN: 978-1-4612-5862-9
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