Laceration of the Femoral Vein Following Stripping of a Fibrotic Great Saphenous Vein

Aim: To report a complication in the femoral vein (FV) following stripping of the great saphenous vein (GSV). Case report: We report an FV laceration after invagination stripping, possibly related to post- thrombotic thickening of a GSV and its mid-thigh perforator (MTP). Discussion: In patients with a history of ascending thrombophlebitis, duplex ultrasound imaging may identify thickening of GSV and MTP. If invasive therapy is deemed necessary, MTP should be marked preoperatively and ligated separately. However, percutaneous, minimally invasive techniques may be preferred in these patients. a 2008 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery.