PMC5315365_01
Preoperative venous duplex scan of the right saphenofemoral junction demonstrating an ectatic great saphenous vein but no aneurysm was detected as this time by the technician.
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Review of the preoperative duplex demonstrates an ectatic right GSV at its origin; however, a diagnosis of a venous aneurysm was not made at that time based on the images that were available (Figure 1).
Post-radiofrequency ablation image of the left great saphenous vein demonstrating continued patency with flow detected on color flow imaging.
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Endovenous ablation of the left GSV was attempted; however, a post-procedure duplex scan indicated incomplete ablation of the left GSV (Figure 2).
Intraoperative photograph of the right saphenofemoral junction aneurysm.
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During the high ligation of the right saphenofemoral junction, a 3 x 4 x 5 cm aneurysm was encountered (Figure 3).