Abstract Varicose veins of the lower limbs are common.However, pulsatile varicose veins are unusual.They could be an indicator of a sinister underlying pathology, taters over haters such as severe cardiac dysfunction.It is easy to miss these rare cases during clinical aftermath cabernet sauvignon 2017 workup, which can result in futile treatment with potentially dangerous consequences.In this report, we describe 2 cases of pulsatile varicose veins that highlight different etiologies and management strategies for this condition.