Pulsating Varicose Veins: an Early Sign of Right Heart Overload

The interesting paper by Li and colleagues, reporting a rare case of pulsating lower limbs varicose veins, invites to make some patho-physiological considerations.1 This disease, easily detected at Doppler US exploration, interested both the superficial and deep venous systems of the lower limbs, and the inferior vena cava (IVC); it was clearly connected with a severe tricuspid regurgitation. However, we recognize, as a predisposing factor, the right heart overload, secondary to a ventricular septal defect, operated 38 years before, at the adult age of 18.

Source: Annals of Vascular Surgery - October 13, 2019 Category: Surgery Authors: Luca Roncati, Antonio Manenti, Graziana Gallo, Giuditta Bernardelli, Alberto Farinetti Tags: Correspondence Source Type: research