Total inferior vena cava thrombosis following coronary artery bypass surgery.
A 44-yr-old male presented with abdominal and back pain following coronary bypass surgery (CABG). Total inferior vena cava (IVC) thrombosis was then documented by computed tomography as well as IVC contrast cineangiography. Furthermore, the patient developed multiple pulmonary emboli. This presentation with severe abdominal and back pain with lack of early peripheral edema without apparent hepatic or renal dysfunction and with extreme elevation of erythrocyte sedimentation rate seems rather unusual. To our knowledge, such massive IVC thrombosis has not been reported following CABG. Thrombolytic and anticoagulant therapy was utilized with good recovery.
Rama
B N
BN
Cardiology Division, St. Luke's Hospital, St. Louis, MO 63017.
Salem
B I
BI
Haikal
M
M
Mera
R
R
Ortbals
D
D
Gowda
S
S
D000328:Adult; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004487:Edema / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000209:etiology; D011859:Radiography; D013927:Thrombosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging