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Preoperative Color Duplex Echographical Venous Mapping Before Autologous Fat Graft for Calf Augmentation: A Case Report of Superficial Vein Thrombosis and Prevalence of Intersaphenic Anastomosis

Fraccalvieri, Marco MD*; Contessa, Luigi MD; Salomone, Marco MD*; Zingarelli, Enrico Maria MD*; Bruschi, Stefano PhD, MD*

doi: 10.1097/SAP.0b013e318271007b
Aesthetic Surgery
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Autologous fat grafting for calf augmentation is considered an easy and safe technique. Only few cases of potential complications have been described in literature; among them, vein thrombosis was never reported. We report a case of superficial vein thrombosis of the intersaphenic anastomosis after fat graft for calf symmetrization in club-foot syndrome. A color duplex echographical study showed that such intersaphenic anastomoses are present in all patients, but they have an ectatic diameter in 70% of patients with great saphenous vein insufficiency and in 50% of patients without insufficiency. The plastic surgeon should be aware of the presence and topography of such anatomical variations before performing the procedure. Moreover, a preoperative color duplex echographical venous mapping may help the surgeon in avoiding the trauma on vein variants and subsequent complications.

From the *Plastic Surgery Department and †Vascular Surgery Department, San Giovanni Battista di Torino, University of Turin, Turin, Italy.

Received March 25, 2012, and accepted for publication, after revision, August 26, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Marco Fraccalvieri, MD, Plastic Surgery Department, San Giovanni Battista di Torino, University of Turin, via Cherasco 23, 10100 Turin, Italy. E-mail: marco@fraccalvieri.it.

© 2014 by Lippincott Williams & Wilkins