leg swelling after vein harvesting

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Once comfortable, he was transferred to the rehabilitation ward. May need support hose, get wound checked to be sure no infection. Three patients presented with swollen leg after surgical removal of the greater saphenous vein (GSV): two of them after stripping of the GSV for varicosity and one after harvesting the GSV for coronary artery bypass graft (CABG) surgery. My husaband had bypass surgery 12 days ago. His entire leg and foot is bruised and still swollen - esp. Discussion. I had similar after my bypass but mostly round the knee area. Figured it was all due to the harvesting of the vein. his foot. Leg swelling can be caused by more than one factor such as venous insufficiency, obesity, increased right sided heart pressures and previous saphenous vein harvest for heart bypass surgery. The causes of swelling in one leg may be similar to the other leg, but it is not unusual for different factors to cause the swelling in each leg. Although routine iliac vein stenting is controversial, the results of this study suggest that residual swelling after endovenous ablations can have little to do with the venous circulation. Lower limb compartment syndrome following venous harvesting for CABG is rare [1–6] and multifactorial . Foot swelling: Lower extremity swelling not unusual after saphenous vein harvesting. Despite the availability of synthetic conduits autogenous great saphenous vein (GSV) is the most commonly used conduit for myocardial re-perfusion and saphenous neuralgia is therefore seen after harvesting of various lengths of vein from the leg or thigh. Thus, a relative increase in circulatory congestion which results in swelling. Although many people with deep vein thrombosis (DVT) recover completely, up to 40 percent continue to experience symptoms in their arms or legs for years after their initial diagnosis. Funny thing is that the more I worked out and walked the less swelling and could not feel the lump as much. Vein taken from his left leg with only 2 small incisions. It has also been described after varicose vein , arterial and orthopaedic procedures. I suspect that many cases of persistent swelling after vein ablations are due to phlebolymphedema. Lymphoscintigraphic examination of the affected leg revealed an impaired lymphatic drainage. This is part of the reason why people who have veins taken out of their legs for heart surgery often times have residual swelling in the leg long after the vein harvest. https://www.annalsthoracicsurgery.org/article/S0003-4975(00)01414-4/fulltext 3. Your circulation has not adjusted to the closure of a normal vein. Pain resolved markedly after surgery; however, there was residual foot drop with impaired sensation over the dorsum of the foot. 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