Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy

Abstract Background Varicose veins are one of the most common disease; however, secondary varicose veins caused by tricuspid valve regurgitation (TVR) are rare. Case presentation A patient who developed pulsating bleeding from superficial varicose veins due to TVR was successfully treated by endoven...

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Main Authors: Atsushi Guntani, Sho Yamashita, Shinsuke Mii
Format: Article
Language:English
Published: Japan Surgical Society 2021-09-01
Series:Surgical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s40792-021-01289-2
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author Atsushi Guntani
Sho Yamashita
Shinsuke Mii
author_facet Atsushi Guntani
Sho Yamashita
Shinsuke Mii
author_sort Atsushi Guntani
collection DOAJ
description Abstract Background Varicose veins are one of the most common disease; however, secondary varicose veins caused by tricuspid valve regurgitation (TVR) are rare. Case presentation A patient who developed pulsating bleeding from superficial varicose veins due to TVR was successfully treated by endovenous laser ablation (EVLA) of the great saphenous vein (GSV) and repeated foam sclerotherapy of varicose veins. There were no complications, such as rebleeding or recanalization of the GSV during the 1-year follow-up period. Conclusions We herein report a rare case of pulsatile hemorrhagic varicose veins caused by TVR that was successfully managed by combined treatment of EVLA and foam sclerotherapy. When pulsatile varicose veins are found, the presence of TVR should be suspected.
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institution Kabale University
issn 2198-7793
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publishDate 2021-09-01
publisher Japan Surgical Society
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series Surgical Case Reports
spelling doaj-art-01be2e8ce9e949c3ba9876c24df177792025-08-20T03:32:51ZengJapan Surgical SocietySurgical Case Reports2198-77932021-09-01711410.1186/s40792-021-01289-2Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapyAtsushi Guntani0Sho Yamashita1Shinsuke Mii2Department of Vascular Surgery, Saiseikai Yahata General HospitalDepartment of Vascular Surgery, Saiseikai Yahata General HospitalDepartment of Vascular Surgery, Saiseikai Yahata General HospitalAbstract Background Varicose veins are one of the most common disease; however, secondary varicose veins caused by tricuspid valve regurgitation (TVR) are rare. Case presentation A patient who developed pulsating bleeding from superficial varicose veins due to TVR was successfully treated by endovenous laser ablation (EVLA) of the great saphenous vein (GSV) and repeated foam sclerotherapy of varicose veins. There were no complications, such as rebleeding or recanalization of the GSV during the 1-year follow-up period. Conclusions We herein report a rare case of pulsatile hemorrhagic varicose veins caused by TVR that was successfully managed by combined treatment of EVLA and foam sclerotherapy. When pulsatile varicose veins are found, the presence of TVR should be suspected.https://doi.org/10.1186/s40792-021-01289-2Endovenous laser ablationVaricose veinTricuspid valve regurgitation
spellingShingle Atsushi Guntani
Sho Yamashita
Shinsuke Mii
Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy
Surgical Case Reports
Endovenous laser ablation
Varicose vein
Tricuspid valve regurgitation
title Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy
title_full Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy
title_fullStr Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy
title_full_unstemmed Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy
title_short Pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation: report of a case treated by laser ablation and foam sclerotherapy
title_sort pulsating hemorrhagic varicose veins caused by tricuspid valve regurgitation report of a case treated by laser ablation and foam sclerotherapy
topic Endovenous laser ablation
Varicose vein
Tricuspid valve regurgitation
url https://doi.org/10.1186/s40792-021-01289-2
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AT shoyamashita pulsatinghemorrhagicvaricoseveinscausedbytricuspidvalveregurgitationreportofacasetreatedbylaserablationandfoamsclerotherapy
AT shinsukemii pulsatinghemorrhagicvaricoseveinscausedbytricuspidvalveregurgitationreportofacasetreatedbylaserablationandfoamsclerotherapy