caa a22 4500 475752139 CHVBK 20180406123527.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s005950070131 doi (NATIONALLICENCE)springer-10.1007/s005950070131 Successful reconstruction in a patient with chronic and multisegmental venous obstruction: Report of a case [Elektronische Daten] [Hisanaga Moro, Jun-ichi Hayashi, Masakazu Sogawa] We describe herein our technique of performing complex venous reconstruction for a patient with chronic, multiple, and long segmental venous obstruction from the left iliac vein to the infrapopliteal deep veins. To improve venous outflow and prevent venous gangrene caused by graft failure, we preserved the ipsilateral saphenous vein without dissection and performed complex venous reconstruction in the form of iliofemoral crossover bypass using a prosthetic graft, femoropopliteal bypass using the contralateral saphenous vein, both thromboembolectomy and venous repair of the infrapopliteal veins, and the creation of a distal arteriovenous fistula. The successful outcome of this surgery may provide some insight into the treatment of extended chronic venous obstruction. Springer-Verlag, 2000 venous reconstruction nationallicence chronic venous obstruction nationallicence thromboembolectomy nationallicence multisegmental obstruction nationallicence Moro Hisanaga Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan aut Hayashi Jun-ichi Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan aut Sogawa Masakazu Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan aut Surgery Today Springer-Verlag 30/6(2000-06-01), 567-570 0941-1291 30:6<567 2000 30 595 https://doi.org/10.1007/s005950070131 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070131 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moro Hisanaga Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan aut NATIONALLICENCE 700 1- Hayashi Jun-ichi Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan aut NATIONALLICENCE 700 1- Sogawa Masakazu Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 1-757 Asahimachi-dori, 951-8510, Niigata, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/6(2000-06-01), 567-570 0941-1291 30:6<567 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer