Cross Femoro-femoral Venous Bypass for Iliofemoral Venous Occlusion using Autogenous Vein Graft

ABSTRACT

Cross femoro-femoral venous bypass (the Palma operation) is one way of treating iliofemoral venous occlusion in patients with deep vein thrombosis (DVT). We reviewed five patients (four men and one woman, two right legs and three left legs) who underwent the Palma operation. Three patients underwent surgery secondary to severe suprapubic and scrotal varicosities; one patient underwent surgery for symptomatic pain and swelling; and one patient underwent surgery for acute severe DVT. Four patients showed good patency and flow through the venous bypass during follow-up. The suprapubic and scrotal varicosities disappeared after surgery. Our results suggest that the Palma operation is an effective treatment for selected cases of DVT.