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A 56-year-old man presented with a post-thrombotic syndrome of the left leg (involving edema, varicose veins, trophic skin changes, and an ulcer, 5 cm in diameter, of the distal medial leg), resulting from deep-vein thrombosis 2 years earlier. He had been found to have the factor V Leiden mutation and began receiving maintenance therapy with anticoagulants. Preoperative computed tomography of the leg was used to examine the superficial and deep venous systems, after the images were reformatted to eliminate the subcutaneous fat (Panel A) and muscles (Panels B and C, and see the video). The upper portion of the . . . [Full Text of this Article] |