Improvement of Ambulatory Venous Hypertension by Narrowing of the Femoral Vein in Congenital Absence of Venous Valves

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Abstract
Objective: To assess the effect of femoral vein compression in a patient with congenital avalvulae. Design: Single patient study. Setting: Department of Dermatology; Teaching Hospital, Vienna, Austria. Patient: A single patient with the rare condition of congenital absence of venous valves. Interventions: Compression of the thigh using a thigh Main outcome measures: Ambulatory venous pressure Measurement. Results: The ambulatory venous pressure was reduced when the thigh calf pressure was increased in excess of 70 mmHg. Conclusion: Thigh compression in a patient with congenital absence of venous valves resulted in a temporary valve mechanism permitting orthograde flow during muscle systole, but inhibiting venous reflux.

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