Iliac Vein Compression Syndrome with Chronic Leg Ulcer: A Case Report.

Seo, Gwang seog; Lee, Paik Kwon; Rhie, Jong Won; Ahn, Sang Tae

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2004;31(5):714-718.
Published online September 1, 2004.

Iliac Vein Compression Syndrome with Chronic Leg Ulcer: A Case Report.

Gwang seog Seo, Paik Kwon Lee, Jong Won Rhie, Sang Tae Ahn

Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. pklee@catholic.ac.kr

Abstract

Iliac vein compression syndrome is an uncommon process in which the right common iliac artery compresses the left common iliac vein, resulting in left iliofemoral deep vein thrombosis, severe leg edema and ulceration. We experienced a 55-year-old male patient with recurrent left leg ulcer for 15 years. Skin grafting had been done three times, but none of them healed the patient. Femoral venography showed a complete occlusion of the left common iliac vein. Palma-Dale bypass grafting procedure(crossover saphenous vein bypass grafting) and arteriovenous fistula formation was done. The leg ulcer healed two months after the operation.

Keywords: Iliac vein compression syndrome; Chronic leg ulcer