Pain resolved markedly after surgery; however, there was residual foot drop with impaired sensation over the dorsum of the foot. I had similar after my bypass but mostly round the knee area. Funny thing is that the more I worked out and walked the less swelling and could not feel the lump as much. Your circulation has not adjusted to the closure of a normal vein. https://www.annalsthoracicsurgery.org/article/S0003-4975(00)01414-4/fulltext The causes of swelling in one leg may be similar to the other leg, but it is not unusual for different factors to cause the swelling in each leg. I suspect that many cases of persistent swelling after vein ablations are due to phlebolymphedema. They hadn't quite straightened my leg when they had finished so it was "stitched" partly bent making it very painful at first. Despite the availability of synthetic conduits autogenous great saphenous vein (GSV) is the most commonly used conduit for myocardial re-perfusion and saphenous neuralgia is therefore seen after harvesting of various lengths of vein from the leg or thigh. Thus, a relative increase in circulatory congestion which results in swelling. It has also been described after varicose vein , arterial and orthopaedic procedures. Leg swelling can be caused by more than one factor such as venous insufficiency, obesity, increased right sided heart pressures and previous saphenous vein harvest for heart bypass surgery. Discussion. 3. Foot swelling: Lower extremity swelling not unusual after saphenous vein harvesting. Three patients presented with swollen leg after surgical removal of the greater saphenous vein (GSV): two of them after stripping of the GSV for varicosity and one after harvesting the GSV for coronary artery bypass graft (CABG) surgery. Although routine iliac vein stenting is controversial, the results of this study suggest that residual swelling after endovenous ablations can have little to do with the venous circulation. Upon investigation there were still some stitches that hadn't dissolved and once these were cut everything was ok. Figured it was all due to the harvesting of the vein. Once comfortable, he was transferred to the rehabilitation ward. Frequently, leg swelling is caused by more than one factor such as venous insufficiency, obesity, and previous saphenous vein harvest for heart bypass surgery. His entire leg and foot is bruised and still swollen - esp. Vein taken from his left leg with only 2 small incisions. his foot. Although many people with deep vein thrombosis (DVT) recover completely, up to 40 percent continue to experience symptoms in their arms or legs for years after their initial diagnosis. 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