The triad of varicose veins, hypertrophy of soft tissue and bone, and
cutaneous hemangiomas (The Klippel-Trenaunay syndrome) often results in
major malformations. A review of eleven children treated for this condition
showed that the overgrowth of the limb was a major problem in management.
In three patients the altered hemodynamics resulted in cardiac
complications. Venous stripping, excision of the arteriovenous fistulae,
and radiation therapy should be avoided.