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Article
Choked Vein: Unusual Etiology of Extensive Deep Vein Thrombosis.
Internal Medicine
  • Salem Gaballa, HCA Healthcare
  • Kyaw M Hlaing, HCA Healthcare
  • Nadine Bos, HCA Healthcare
  • Gretchen Junko, HCA Healthcare
  • Abdullah Alcharif, HCA Healthcare
Division
Capital
Hospital
LewisGale Medical Center
Document Type
Case Report
Publication Date
5-26-2020
Keywords
  • deep vein thrombosis,
  • inferior vena cava atresia,
  • heterozygous factor v leiden mutation
Abstract

Deep venous thrombosis (DVT) is a commonly encountered diagnosis in clinical practice with a variety of established risk factors. Inferior vena cava atresia (IVCA) is a rare vascular anomaly, but an established risk factor, associated with DVT, found in approximately 5% of cases of unprovoked lower extremity DVT in young adults. Patients who develop DVT are at high risk of long-term complications, including DVT recurrence and post-thrombotic syndrome. Thirty percent of inferior vena cava (IVC) anomalies are associated with hypercoagulable conditions in the younger population, Therefore, a hypercoagulable workup is beneficial in this population. We report a rare case of a 31-year-old male who presented with an extensive DVT of bilateral lower extremities secondary to IVC atresia. The treatment of choice for IVC atresia associated with extensive DVT is catheter-directed thrombolysis (CDT), endovascular IVC reconstruction with nitinol stent, and long-term anticoagulation.

Publisher or Conference
Cureus
Citation Information
Gaballa S, Hlaing KM, Bos N, Junko G, Alcharif A. Choked Vein: Unusual Etiology of Extensive Deep Vein Thrombosis. Cureus. 2020;12(5):e8292. Published 2020 May 26. doi:10.7759/cureus.8292