Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Diagnostic Medical Sonography
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Abbas, M.
Right arrow Articles by Sieunarine, K.
Right arrow Search for Related Content
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Sonographic Evaluation of Chronic Venous Insufficiency in Right Heart Failure

Manzoor Abbas, MS, FVES

Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia, manzoorabbas{at}bigpond.com

Mohd Mazri Yahya, MMED(SURG)

Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia

Mark Hamilton, BHB, MBCHB

Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia

B. Patrice Mwipatayi, MMED(SURG), FCS(SA)

Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia

Kishore Sieunarine, FRCS, FRACS, DDU

Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia

Clinical and sonographic findings of three octogenarian patients with recent-onset venous insufficiency with venous ulcer were evaluated with clinical examination and venous duplex scanning. The venous duplex findings in the affected lower limb of patients with right heart failure showed phasic flow in the long saphenous vein. The phasic flow was traced back up to the inferior vena cava and the hepatic veins. Echocardiogram confirmed marked tricuspid regurgitation. Clinically, a simple compression of the sapheno-femoral junction showed an absence of pulsation in the long saphenous veins, giving clinical confirmation that venous backflow caused the pulsation in the limb veins. Right heart failure in patients with late-onset venous insufficiency and venous ulcer should be suspected. Sonography complemented with clinical examination is the key to the proper evaluation and management of chronic venous insufficiency with right heart failure.

Key Words: right heart failure • chronic venous insufficiency • tricuspid regurgitation

Journal of Diagnostic Medical Sonography, Vol. 21, No. 3, 238-242 (2005)
DOI: 10.1177/8756479305275776
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?