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

Autor:	Garg MK; Department of Vascular and Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi, India., Satwik A; Department of Vascular and Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi, India., Bedi VS; Department of Vascular and Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi, India., Uppinakudru G; Department of Vascular and Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi, India., Agarwal S; Department of Vascular and Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi, India., Yadav A; Department of Vascular and Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi, India.
Jazyk:	angličtina
Zdroj:	Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2018 Dec 31; Vol. 5 (1), pp. 26-30. Date of Electronic Publication: 2018 Dec 31 (Print Publication: 2019).
DOI:	10.1016/j.jvscit.2018.09.005
Abstrakt:	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.
Databáze:	MEDLINE
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