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

Autor: Mukesh Kumar Garg, MS, DNB, Ambarish Satwik, MS, DNB, Varinder S. Bedi, MS, FVSI, Gurunandan Uppinakudru, MS, Sandeep Agarwal, MS, FIVS, Ajay Yadav, MS, MRCS, FNB
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 5, Iss 1, Pp 26-30 (2019)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2018.09.005
Popis: 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. Keywords: Duplicated IVC, Catheter-directed thrombolysis, Deep venous thrombosis
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