2020 Volume 29 Issue 1 Pages 53-56
This 85 year-old male complaining of left leg pain was referred to our clinic for evaluation of varicose vein with great saphenous vein (GSV) reflux in left lower extremity. Contrast-enhanced CT revealed that left external iliac artery was completely occluded and we suspect that the left leg pain was attributed to this occlusion. Consequently, femoro–femoral artery bypass surgery was performed and the left leg pain disappeared. However, 2 months after the surgery severe edema showed up in his left lower extremity and ultrasound detected increased diameter of the GSV. Hence, the left GSV stripping surgery was performed. Three months after the stripping procedure, edema in left lower extremity completely disappeared. Among the patients with varicose vein, some of them might also has arteriosclerosis obliterans (ASO). For those patients both diseases should be cared and appropriate treatment strategies are warranted.
