Mechanochemical and surgical ablation of an anomalous upper extremity marginal vein in CLOVES syndrome identifies PIK3CA as the culprit gene mutation

© 2020 The Author(s)..

Anomalous marginal veins of the trunk or extremities are congenitally incompetent entities found in association with phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA)-related overgrowth syndromes, such as Klippel-Trénaunay syndrome and congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and skeletal deformities (CLOVES) syndrome. When present, they can be a major source of venous hypertension-related morbidity and potentially lethal thromboembolic events. Herein, we describe a rare case of an upper extremity marginal vein in a patient with CLOVES syndrome. Through a multimodal therapeutic approach, we identified a somatic PIK3CA mutation in the excised anomalous vein. This finding questions the validity of commonly employed terminology, such as persistent embryonic vein, in reference to these anomalous entities.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

Journal of vascular surgery cases and innovative techniques - 6(2020), 3 vom: 25. Sept., Seite 438-442

Sprache:

Englisch

Beteiligte Personen:

Lim, Young [VerfasserIn]
Fereydooni, Arash [VerfasserIn]
Brahmandam, Anand [VerfasserIn]
Dardik, Alan [VerfasserIn]
Choate, Keith [VerfasserIn]
Nassiri, Naiem [VerfasserIn]

Links:

Volltext

Themen:

CLOVES syndrome
Case Reports
Coil embolization
Marginal veins
PIK3CA

Anmerkungen:

Date Revised 20.09.2021

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jvscit.2020.05.013

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313507856