38 year old female with deep venous thrombosis 14 years ago while on birth control pills. Second DVT shortly after discontinuing anti-coagulation. Hematologic work up showed the patient to have Protein S deficiency. Patient suffered with severe post thrombotic syndrome eventually resulting in venous ulceration 8 years ago. Patient suffered with a chronic ulcer that was eventually healed after venoplasty of the femoral and popliteal veins.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration
Presentation at Charring Cross Meeting London 2015