J Korean Soc Plast Reconstr Surg.  2004 Sep;31(5):714-718.

Iliac Vein Compression Syndrome with Chronic Leg Ulcer: A Case Report

Affiliations
  • 1Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. pklee@catholic.ac.kr

Abstract

Iliac vein compression syndrome is an uncommon process in which the right common iliac artery compresses the left common iliac vein, resulting in left iliofemoral deep vein thrombosis, severe leg edema and ulceration. We experienced a 55-year-old male patient with recurrent left leg ulcer for 15 years. Skin grafting had been done three times, but none of them healed the patient. Femoral venography showed a complete occlusion of the left common iliac vein. Palma-Dale bypass grafting procedure(crossover saphenous vein bypass grafting) and arteriovenous fistula formation was done. The leg ulcer healed two months after the operation.

Keyword

Iliac vein compression syndrome; Chronic leg ulcer

MeSH Terms

Arteriovenous Fistula
Edema
Humans
Iliac Artery
Iliac Vein*
Leg Ulcer*
Leg*
Male
May-Thurner Syndrome*
Middle Aged
Phlebography
Saphenous Vein
Skin Transplantation
Transplants
Ulcer
Venous Thrombosis
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