The anterior accessory saphenous vein is a superficial vein of the front of the thigh that runs parallel to and in front of (lateral to) the great saphenous vein. It usually joins the great saphenous vein close to the saphenofemoral junction in the groin. On ultrasound it lies in line with the femoral artery and vein, which helps tell it apart from the great saphenous vein.
| Origin | Superficial veins of the anterolateral thigh and knee |
|---|---|
| Course | Ascends on the front of the thigh, in its own saphenous fascial layer for part of its length, and joins the great saphenous vein near the saphenofemoral junction |
| Branches |
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Reflux in the anterior accessory saphenous vein is a common cause of varicose veins on the front and outer thigh and of recurrent varicose veins after the great saphenous vein has been treated. It can be closed with endovenous laser or radiofrequency ablation, glue or foam, much like the main saphenous trunk. Duplex ultrasound mapping before treatment of the great saphenous vein should look for it.
After the great saphenous vein is closed, reflux can continue through the anterior accessory saphenous vein, producing new varicose veins on the anterolateral thigh that need separate treatment.
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