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

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.