Recurrent deep venous thrombosis caused by congenital interruption of the inferior vena cava and heterozygous factor V Leiden mutation.
A case of a 44-year-old patient with recurrent deep venous thrombosis (DVT) caused by congenital dysgenesis of the inferior vena cava (IVC) in coincidence with heterozygous factor V Leiden mutation is presented. The IVC malformation was a fortuitous finding because the vascular malformation of the collateral draining thoracic veins were suspected to be a malignant mass in chest X-ray. This vascular abnormality is a rare finding but recent epidemiological research suggests that there may be an association between the congenital absence of the IVC and DVT. In our case, the patient is even at higher risk combining the malformation probably affecting venous blood flow and the hypercoagulabilic state by heterozygous presence of the factor V Leidenmutation.
Schneider
J G
JG
Department of Internal Medicine I and Radiology, Ruprecht-Karls-University of Heidelberg, Heidelberg, Germany. jochen.schneider@urz.uni-heidelberg.de
Eynatten
M V
MV
Dugi
K A
KA
Duex
M
M
Nawroth
P P
PP
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005165:Factor V / Q000235:genetics*; D006579:Heterozygote; D006801:Humans; D008297:Male; D009154:Mutation; D010644:Phenprocoumon / Q000627:therapeutic use; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000150:complications* / Q000151:congenital / Q000175:diagnosis; D014682:Vena Cava, Inferior / Q000002:abnormalities*; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants; C095381:factor V Leiden; D005165:Factor V; D010644:Phenprocoumon