Abstract
Varicose veins and peripheral arterial disease (PAD) are common diseases of the lower extremities. However it is rare that both require surgical treatment at the same time. We report an 85-year-old woman with severe deep venous valve insufficiency and PAD in the same leg. She had had varicose veins, pigmentation and peripheral pulse attenuation of the left leg for ten years. Venogram of the left leg showed deep venous valve insufficiency (Kistner IV) and the ankle brachial pressure index (ABI) was only 0.65. External valvuloplasty of the left femoral vein with a rigid endoscope and right external ilio-left common femoral crossover bypass with an artificial graft were performed at the same time. The post operative venogram showed the improvement of the venous valve insufficiency (Kistner II), and the ABI rose to 0.85. During 15 months of follow-up, the patient has been free from symptoms.
