Abstract
Localised hypoplasia or aplasia of the great saphenous vein (GSV) is not uncommon, with reports primarily describing limited area of hypoplasia/aplasia around the knee. Long segment of hypoplasia/aplasia extending along the thigh and distally to lower calf is rare. We report a case of an 81-year-old lady with long segment of the GSV aplasia depicted 3 cm distal to sapheno-femoral junction (SFJ), down to 5 cm above the right ankle with direct communication with the short saphenous vein (SSV).
Highlights
great saphenous vein (GSV): Great Saphenous Vein; sapheno-femoral junction (SFJ): Sapheno-Femoral Junction; SSV: Short Saphenous Vein; accessory saphenous vein (AASV): Anterior Accessory Saphenous Vein; posterior accessory saphenous vein (PASV): Posterior Accessory Saphenous Vein
Ultrasound study with duplex was performed on symptomatic lower limb from proximal to distal starting at the right SFJ
Five cm above the ankle, the right GSV calibre reinstituted, where the vein was seen connecting to the right SSV (Figure 1)
Summary
An 81-year-old female presented to our clinic for an ultrasound evaluation of the right lower extremity venous system. She reported a long history of dull aching pain, cramping and swelling of her right leg as well as right ankle discoloration. Right anterior accessory saphenous vein (AASV) was seen branching from the right GSV, that was traced distally down to 4 cm below knee (Figure 2 and Figure 3). Right posterior accessory saphenous vein (PASV) was seen branching from the right GSV, that was traced distally down to 7 above knees. No intra or post procedural complications were reported and our patient tolerated the procedure well Our patient reported that her previously described symptoms continued to settle over time
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