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Recurrent bilateral varicose veins secondary to tricuspid regurgitation

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Abstract

Background

Varicose veins are a common condition. We present a case of recurrent veins due to tricuspid regurgitation.

Case history

A 55-year-old female presented with large bilateral varicosities. On examination these were extensive and pulsatile in nature over both legs. Three and 5 years previously she presented with similar signs and had undergone bilateral venous surgery including Trendelenburg procedure. Past medical history included successful atrial septal defect repair in 1995. Severe tricuspid regurgitation and right heart failure was diagnosed in 2000, followed by annuloplasty 2 years later. Prior to attempting venous surgery the third time an echocardiogram was performed. This demonstrated severe tricuspid regurgitation again and therefore surgery was not undertaken at this time.

Discussion

Concurrent valvular disease should be fully investigated and optimised before consideration is given to surgery, with a multidisciplinary approach being essential in its management.

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Conflict of interest

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Authors and Affiliations

  1. Department of Vascular and Endovascular Surgery, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, UK

    S. A. Badger, R. R. Makar & B. Lee

  2. Department of Cardiology, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB, UK

    E. W. Chew

Authors
  1. S. A. Badger
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  2. R. R. Makar
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  3. E. W. Chew
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  4. B. Lee
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Corresponding author

Correspondence to S. A. Badger.

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Badger, S.A., Makar, R.R., Chew, E.W. et al. Recurrent bilateral varicose veins secondary to tricuspid regurgitation. Ir J Med Sci 181, 405–407 (2012). https://doi.org/10.1007/s11845-010-0547-6

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  • DOI: https://doi.org/10.1007/s11845-010-0547-6

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