Cargando…

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

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 s...

Descripción completa

Detalles Bibliográficos
Autores principales: Garg, Mukesh Kumar, Satwik, Ambarish, Bedi, Varinder S., Uppinakudru, Gurunandan, Agarwal, Sandeep, Yadav, Ajay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313839/
https://www.ncbi.nlm.nih.gov/pubmed/30619987
http://dx.doi.org/10.1016/j.jvscit.2018.09.005
_version_ 1783384024604999680
author Garg, Mukesh Kumar
Satwik, Ambarish
Bedi, Varinder S.
Uppinakudru, Gurunandan
Agarwal, Sandeep
Yadav, Ajay
author_facet Garg, Mukesh Kumar
Satwik, Ambarish
Bedi, Varinder S.
Uppinakudru, Gurunandan
Agarwal, Sandeep
Yadav, Ajay
author_sort Garg, Mukesh Kumar
collection PubMed
description 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.
format Online
Article
Text
id pubmed-6313839
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-63138392019-01-07 Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis Garg, Mukesh Kumar Satwik, Ambarish Bedi, Varinder S. Uppinakudru, Gurunandan Agarwal, Sandeep Yadav, Ajay J Vasc Surg Cases Innov Tech Iliofemoral deep vein thrombosis 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. Elsevier 2018-12-31 /pmc/articles/PMC6313839/ /pubmed/30619987 http://dx.doi.org/10.1016/j.jvscit.2018.09.005 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Iliofemoral deep vein thrombosis
Garg, Mukesh Kumar
Satwik, Ambarish
Bedi, Varinder S.
Uppinakudru, Gurunandan
Agarwal, Sandeep
Yadav, Ajay
Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
title Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
title_full Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
title_fullStr Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
title_full_unstemmed Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
title_short Duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
title_sort duplication of inferior vena cava and coagulation mutations with left-sided iliofemoral venous thrombosis
topic Iliofemoral deep vein thrombosis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313839/
https://www.ncbi.nlm.nih.gov/pubmed/30619987
http://dx.doi.org/10.1016/j.jvscit.2018.09.005
work_keys_str_mv AT gargmukeshkumar duplicationofinferiorvenacavaandcoagulationmutationswithleftsidediliofemoralvenousthrombosis
AT satwikambarish duplicationofinferiorvenacavaandcoagulationmutationswithleftsidediliofemoralvenousthrombosis
AT bedivarinders duplicationofinferiorvenacavaandcoagulationmutationswithleftsidediliofemoralvenousthrombosis
AT uppinakudrugurunandan duplicationofinferiorvenacavaandcoagulationmutationswithleftsidediliofemoralvenousthrombosis
AT agarwalsandeep duplicationofinferiorvenacavaandcoagulationmutationswithleftsidediliofemoralvenousthrombosis
AT yadavajay duplicationofinferiorvenacavaandcoagulationmutationswithleftsidediliofemoralvenousthrombosis