RT Book, Section A1 Wells, Robert G. SR Print(0) ID 1148954151 T1 Nonneoplastic Abnormalities of the Extremity Soft Tissues T2 Diagnostic Imaging of Infants and Children YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071808392 LK accesspediatrics.mhmedical.com/content.aspx?aid=1148954151 RD 2024/04/19 AB Klippel-Trenaunay syndrome (Klippel-Trenaunay-Weber syndrome; angio-osteohypertrophy syndrome) is a developmental vascular abnormality of the extremities. Classically, there is the triad of cutaneous capillary malformations, dilated superficial veins or venous malformations, and overgrowth of the limb (local gigantism). Capillary-lymphaticovenous malformations are present in the deeper soft tissues in most of these patients as well. Typically, the abnormality involves a single lower extremity (95%); arm involvement is rare. Klippel-Trenaunay syndrome apparently is due to a disturbance in embryogenesis, with persistence of primitive arteriovenous communications within the developing limb bud. Abnormalities of superficial veins in these patients range from ectasia of small veins to large venous or lymphaticovenous malformations. Potential deep venous abnormalities include aplasia, hypoplasia, aneurysmal dilation, duplications, and valvular incompetence.1–3