Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis

被引：5

作者：

Garg, Mukesh Kumar ^{[1
]}

Satwik, Ambarish ^{[1
]}

Bedi, Varinder S. ^{[1
]}

Uppinakudru, Gurunandan ^{[1
]}

Agarwal, Sandeep ^{[1
]}

Yadav, Ajay ^{[1
]}

机构：

[1] Sir Ganga Ram Hosp, Dept Vasc & Endovasc Surg, New Delhi 110060, India

来源：

JOURNAL OF VASCULAR SURGERY CASES AND INNOVATIVE TECHNIQUES | 2019年 / 5卷 / 01期

关键词：

Duplicated IVC; Catheter-directed thrombolysis; Deep venous thrombosis; RISK FACTOR;

D O I：

10.1016/j.jvscit.2018.09.005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Duplication of the inferior vena cava (IVC) with coagulation mutations in the form of factor V Leiden and MTHFR mutations represents an unusual subset of patients. We are reporting a case of a 43-year-old man who presented with left iliofemoral deep venous thrombosis diagnosed on duplex ultrasound scan. At the time of catheter-directed thrombolysis with prophylactic IVC filter placement, a duplicated IVC system was observed. After thrombolysis, a stenotic lesion in the left common iliac vein and IVC was stented. IVC filters were retrieved after 6 weeks. On thrombophilia profile testing at 3 months, he was also found to have factor V Leiden and MTHFR mutations. After 12 months of follow-up, the patient is asymptomatic with a patent iliocaval venous system and is receiving lifelong anticoagulation.

引用

页码：26 / 30

页数：5

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