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1. |
Kohinur, 60yrs woman,has a left femoral venous thrombosis during a pregnancy 30 year ago.The left greater saphenous vein had been stripped at age 21.She now presents with a large non healing ulceration over the medical left calf,which has continuously progressed despite bedrest,elevation,and use of a support stocking.Descending phlebography of the left leg demonstrates a patent deep venous system,with free flow of dye from the groin to foot.The first profunda femoris valve is competent.Which of the following is appropriate management? |
A. | Ligated illiofemoral venous thrombectomy with creation of the temporary arteriovenous fistula |
B. | Subfascial ligation of perforating veins in the left calf |
C. | Division of the superficial femoral vein in the groin and transposition of its distal end onto the profunda femoris vein below the level of the competent profunda valve |
D. | Saphenous venous crossover graft with asastomosis of the end of the right saphenous vein onto the side of competent femoral vein |
Answer» D. Saphenous venous crossover graft with asastomosis of the end of the right saphenous vein onto the side of competent femoral vein | |