A DUPLICATED GREAT SAPHENOUS VEIN AND CLINICAL SIGNIFICANCE FOR VARICOSITY. Duplicación de la vena safena magna y significado clínico de las várices

  • Waseem Al Talalwah Department of Basic Medical Sciences, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh
  • Roger Soames Centre for Anatomy and Human Identification, College of Art, Science and Engineering, University of Dundee, Dundee

Resumen

En varios estudios se ha relacionado la vena safena magna doble con dilataciones varicosas. Durante una clase de disección de pre-grado de la extremidad inferior se encontró una doble vena safena magna unilateral en el miembro inferior izquierdo de un cadáver masculino. La incidencia de esta variación fue del 1,3% de todos los especímenes muestra. En este trabajo se reporta la variabilidad del drenaje venoso de las extremidades inferiores para mejorar la conciencia para los radiólogos vasculares y proporcionar además una opción adicional en la cirugía de bypass de la arteria coronaria para evitar las várices iatrogénicas.

 

A double great saphenous vein has been associated with varicosity in a number of studies. During routine undergraduate dissection of the lower limb a unilateral double great saphenous was found in the left lower limb of a male cadaver. The incidence of this variation was 1.3% of all specimens. This paper reports the variability of lower limb venous drainage to increase the awareness for vascular radiologists and provide further an additional option in coronary artery bypass surgery to avoid iatrogenic varicosity.

Citas

Caggiati A, Mendoza E. 2004. Segmental Hypoplasia of the Great Saphenous Vein and Varicose Disease. Eur J Vasc Endovasc Surg 28: 257–61.

Corrales NE, Irvine A, McGuinness CL, Dourado R, Burnand KG. 2002. Incidence and pattern of long saphenous vein duplication and its possible implications for recurrence after varicose vein surgery. Br J Surg 89: 323–26.

Daseler EH, Anson BJ, Reimann AF, Beaton LE. 1946. The saphenous venous tributaries and related structures in relation to the technique of high ligation. Surg Gynecol Obstet 82: 53–63.

García-Gimeno M, Rodríguez-Camarero S, Tagarro-Villalba S, Ramalle-Gomara E, González-González E, Arranz MA, García DL, Puerta CV. 2009. Duplex mapping of 2036 primary varicose veins. J Vasc Surg 49: 681-89.

Garner JP, Heppell PSJ, Leopold PW. 2003. Audit: The lateral accessory saphenous vein – a common cause of recurrent varicose veins. Ann Roy Col Surg Eng 85: 389–92.

Glasser ST. 1943. An anatomic study of venous variations at the fossa ovalis. Arch Surg 46: 289–95.

Haeger K. 1977. The anatomy of veins of leg treatment of venous disorder. Hobbs JT ed. The Treatment of Venous Disorder. Philadelphia, Pennsylvania: JB Lippincott.

Kockaert M, de Roos KP, van Dijk L, Nijsten T, Neumann M. 2012. Duplication of the great saphenous vein: a definition problem and implications for therapy. Dermatol Surg 38: 77-82

Kosinski C. 1926. Observations on the superficial venous system of the lower extremity. J Anat 60: 131–42.

Shah DM, Chang BB, Leopold PW, Corson JD, Leather PP, Karmody AM. 1986. The anatomy of the greater saphenous venous system. J Vasc Surg 3: 273-83.

Publicado
2016-03-28
Sección
Presentación de Casos