Asian Journal of Research in Cardiovascular Diseases

Unmasking the Underdiagnosed: Resolving Decade-Old Wounds with Innovative Interventions in Chronic Venous Insufficiency and Follow Up after 2 Years

Gallusena Erickatulistiawan *

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.

Novi Kurnianingsih *

Department of Cardiology and Vascular Medicine, Saiful Anwar General Hospital, Malang, Indonesia.

*Author to whom correspondence should be addressed.

---

Abstract

Chronic venous disorders or the more severe chronic venous insufficiency (CVI) commonly affect aging populations, causing venous hypertension and other complications in the lower limbs. This report discusses a 59-year-old Indonesian woman with a ten-year history of unresponsive foot ulcers and associated symptoms. Despite multiple treatments, including two debridement surgeries, the ulcers persisted. A duplex ultrasound diagnosis revealed CVI in the right mid-saphenous and popliteal veins. Subsequent endovascular laser therapy led to wound closure over a two-year follow-up period. The under-recognition of such chronic wound and CVI cases in Indonesia highlights the significance of this case.

Keywords: Endovascular therapy, chronic venous disease, chronic venous insufficiency, Malang, Indonesian, chronic wounds

---

---