Termination of the great saphenous vein at variable levels

The assessment of the saphenofemoral junction (SFJ) is important in the diagnosis and treatment of venous reflux of the great saphenous vein (GSV). In the clinical practice of venous medicine, the SFJ is used to represent the region at which the saphenous arch connects with the common femoral vein (...

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Bibliographic Details
Published inVeins and lymphatics Vol. 11; no. 2
Main Authors Liu, Gaorui, Clarke, Jillian L., Oomens, Donna, Vicaretti, Mauro, Daly, Tom, Cho, Tae Hyun, Mohan, Irwin
Format Journal Article
LanguageEnglish
Published PAGEPress Publications 22.12.2022
Subjects
anatomical variations
great saphenous vein
saphenofemoral junction
ultrasound
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Summary:The assessment of the saphenofemoral junction (SFJ) is important in the diagnosis and treatment of venous reflux of the great saphenous vein (GSV). In the clinical practice of venous medicine, the SFJ is used to represent the region at which the saphenous arch connects with the common femoral vein (CFV). A number of notable variations of the SFJ have been documented, and rare variable courses of the GSV have been described recently. Our case study reports two unusual GSV terminations. In both cases, the SFJ was located below the confluence of the profunda femoris vein (PFV) with the femoral vein (FV). Case 1 showed the SFJ was formed by the GSV and FV; whereas case 2 showed the PFV was joined by the GSV after a transposition with the FV. Anatomical variations of the SFJ are rare; however, they are increasingly diagnosed with the use of duplex ultrasound. The identification of SFJ variants warrants a safe endovenous procedure and prevents surgical complications.
ISSN:2279-7483
2279-7483
DOI:10.4081/vl.2022.10786