Introduction: Pulsating varicose vein is a very rare clinical manifestation and mostly has been reported with tricuspid regurgitation or right ventricular dysfunction. The exact etiology and treatment options for this disease are rarely reported in the literature.
Case Presentation: This article presents the case of a 45-year-old woman with varicose veins in both her lower limbs when she came to our department. Venous ultrasound showed arterial-like pulsations in both superficial and deep veins of the lower extremities, and echocardiography showed severe tricuspid regurgitation. We administered compression therapy with elastic stockings, and the symptoms of the patient were significantly relieved. In addition, in this article, we reviewed other cases reported in the current literature and discussed appropriate treatment options for this disease.
Conclusion: Pulsating varicose veins are very rare clinical manifestations and mostly have been reported with tricuspid regurgitation or right ventricular dysfunction. For the treatment of this disease, multidisciplinary teams in cardiology, vascular surgery, and anesthesia are the best choices.
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