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
收藏
页码：26 / 30
页数：5
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