Deinsberger Julia, Schlager Oliver, Sinz Christoph, Weber Benedikt
Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Division of Angiology, Second Department of Medicine, Medical University of Vienna, Vienna, Austria.
J Vasc Surg Cases Innov Tech. 2023 Jan 27;9(2):101113. doi: 10.1016/j.jvscit.2023.101113. eCollection 2023 Jun.
Venous valve aplasia (or valvular rarefication) is a rare cause of chronic venous insufficiency. In the present report, we have described the case of a 33-year-old man with severe symmetric lower leg edema and heaviness and pain in both lower legs. Duplex ultrasound demonstrated severe venous insufficiency in the superficial and deep venous system of both legs. Further imaging examinations supported the diagnosis of venous valvular aplasia. Treatment consisted of endovenous thermal ablation of the great saphenous vein and small saphenous vein as well as consistent compression therapy, resulting in a marked reduction of his leg edema, heaviness, and pain.
静脉瓣发育不全（或瓣膜稀疏）是慢性静脉功能不全的罕见病因。在本报告中，我们描述了一名33岁男性的病例，他患有严重的双侧小腿对称性水肿，双腿沉重且疼痛。双功超声显示双腿浅静脉和深静脉系统均存在严重的静脉功能不全。进一步的影像学检查支持静脉瓣发育不全的诊断。治疗包括大隐静脉和小隐静脉的腔内热消融以及持续的压迫治疗，结果他的腿部水肿、沉重感和疼痛明显减轻。
