Petropoulos P, Enderli J B, Hadji H, Hahnloser P
Helv Chir Acta. 1978 Jan;44(5-6):797-8.
Within 1 1/2 years we have seen 4 pulmonary emboli, one of which was fatal. The origin was an isolated thrombophlebitis of the great saphenous vein. An autopsy, with dissection of the veins of the legs and of the pelvis, and phlebographies where there is any doubt of deep venous thrombosis, allow us to speak of isolated thrombosis of the great saphenous vein. The clinical level is always lower than the real level and the thrombus can grow through the saphenofemoral junction. The conservative treatment (anticoagulation and mobilisation) do not prevent a cranial ascension of the thrombus nor a pulmonary embolism. So, when the thrombosis is higher than the knee, we do a crossectomy of the great saphenous vein. We did this operation 8 times without complications.
在一年半的时间里，我们遇到了4例肺栓塞，其中1例是致命的。其栓子来源是单纯的大隐静脉血栓性静脉炎。通过尸体解剖，对腿部和骨盆的静脉进行解剖，并在对深静脉血栓形成存在任何疑问时进行静脉造影，我们得以确诊为单纯的大隐静脉血栓形成。临床发现的血栓水平总是低于实际水平，并且血栓可能会通过隐股静脉交界处向上蔓延。保守治疗（抗凝和活动）既不能阻止血栓向脑部蔓延，也不能预防肺栓塞。因此，当血栓形成高于膝盖水平时，我们会进行大隐静脉交叉切除术。我们做了8次这种手术，均无并发症发生。
