Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492008000400011
Jornal Vascular Brasileiro
Review Article

Veias linfonodais: uma causa pouco conhecida de varizes

Lymph node veins: a little-known cause of varicose veins

André Paciello Romualdo; Roberto de Moraes Bastos; Alessandro Cappucci; Mathias Fatio; Andréa Tsunoda; Pollyanna Campos; Alberto Lobo Machado; Eduardo Hideki Tokura

http://dx.doi.org/10.1590/S1677-54492008000400011 J Vasc Bras, vol.7, n4, p.364-369, 2008
PDF
SciELO
Downloads: 2
Views: 1423

Resumo

As veias linfonodais fazem parte de uma rede venosa no triângulo de Scarpa, que liga em vários pontos o sistema venoso superficial às veias profundas, e podem tanto ser causa de incompetência do sistema venoso superficial quanto estar envolvidas na recorrência pós-safenectomia. Na rotina diária dos exames de Doppler venoso de membros inferiores, temos notado de maneira cada vez mais freqüente a associação das veias linfonodais com varizes primárias e recorrentes. A adequada caracterização dessas veias pode ajudar na compreensão do mecanismo fisiopatológico do aparecimento das varizes e permitir um controle e tratamento mais dirigidos. Este artigo lança luz sobre os aspectos anatômicos e fisiológicos das veias linfonodais, objetivando chamar a atenção dos profissionais envolvidos no diagnóstico de doenças venosas dos membros inferiores para uma causa pouco difundida de varizes.

Palavras-chave

Safena, Doppler, varizes

Abstract

Lymph node veins are part of a venous network in Scarpa"s triangle, communicating in many points the superficial venous system and the deep veins, and may either be the cause of incompetence of the superficial venous system, or be involved in recurrent varicose veins after saphenous vein stripping. In the daily routine of venous Doppler examination of the lower extremities, an increasingly frequent association of lymph node veins with primary and/or recurrent varicose veins has been noticed. Appropriate characterization of these veins may help to understand the pathophysiological mechanism of varicose vein appearance and provide a more focused approach to follow-up and treatment. This article sheds some light on the anatomical and physiological aspects of lymph node veins, drawing the attention of professionals involved in the diagnosis of venous disorders of the lower extremities to a little-known cause of varicose veins.

Keywords

Saphenous, Doppler, varicose veins

References

Caggiati A, Bergan J, Gloviczki P. Nomenclature of the veins of the lower limbs: an international interdisciplinary consensus statement. J Vasc Surg. 2002;36:416-22.

Caggiati A, Bergan J, Gloviczki P. Nomenclature of the veins of the lower limbs: Extensions, refinements, and clinical application. J Vasc Surg. 2005;41:719-24.

Cavezzi A, Labropoulos N, Partsch . Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document: Part II. Anatomy. VASA. 2007;36:62-71.

Lemasle P, Uhl F, Lefrebve-Vilardebo M, Baud J, Gillot C. Veines lynpho-ganglionnaires inguinales: Aspects anatomiques et écographiques. Consequences sur la definition de la neogenese. Consequences therapeutiques. Phlebologie. 1999;52:263-269.

Guarrido M. A crossa da veia safena magna, estudo anatômico e correlação médico-cirúrgica. .

Kohler A, Dirsch O, Brunner U. Veno-lymphatic angiodysplasia as the cause of recurrent inguinal varicose veins. VASA. 1997;26:52-4.

Franco G. La néovasculogenèse existe-t-elle?: Récidives variqueuses post-chirurgicales. Point de vue d"um explorateur. Actualités Vasculaires Internat. 1992;1:41-3.

Franco G, Nguyen K. Apport de l"echo-Doppler dans les récidives variqueuses post-opératoires au niveau de la région inguinale. Phlébologie. 1995;48:241-50.

Franco G. Exploration ultrasonographiche des récidives variqueuses post-chirurgicales. Phlébologie. 1998;51:403-13.

França GJ, Timi JRR, Vidal EA, Oliveira A, Secchi F, Miyamotto M. O eco-Doppler colorido na avaliação das varizes recidivadas. J Vasc Bras. 2005;4:161-6.

Chandler JG, Pichot O, Sessa C, Schuller-Petrovi¢ S, Osse FJ, Bergan JJ. Defining the role of extended saphenofemoral junction ligation: a prospective comparative study. J Vasc Surg. 2000;32:941-53.

Fischer R, Linde N, Duff C, Jeanneret C, Chandler JG, Seeber P. Late recurrent saphenofemoral junction reflux after ligation and stripping of the greater sphenous vein. J Vasc Surg. 2001;34:236-40.

Dwerryhouse S, Davies B, Harradine K, Earnshaw JJ. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: Five-year results of a randomized trial. J Vasc Surg. 1999;29:589-92.

Van Rij AM, Jiang P, Solomon C, Christie RA, Hill GB. Recurrence after varicose vein surgery: a prospective long-term clinical study with duplex ultrasound scanning and air plethysmography. J Vasc Surg. 2003;38:935-43.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd47b10e8825cb4c1da3e9 jvb Articles
Links & Downloads
1677-7301 (Electronic)
J Vasc Bras ©2024 All rights reserved.

J Vasc Bras

Share this page
Page Sections