title: Patient with a massive idiopathic thrombosis in the inferior vena cava.
abstract: A 50 year-old man with no significant medical history was admitted for dyspnea and left femoral swelling. Contrast-enhanced computed tomography revealed pulmonary thromboembolism (PTE) and a thrombus in the inferior vena cava (IVC). The thrombus extended from the proximal IVC to the left popliteal vein. Therefore, we decided that an IVC filter insertion was difficult to indicate. Urgent IVC and peripheral vein thrombectomy was performed under cardiopulmonary bypass. On postoperative day 1, venous ultrasonography showed residual deep vein thrombosis in the left external iliac-femoral vein and the popliteal vein. The IVC filter insertion was performed to prevent the recurrence of PTE.
authors.affiliation: Department of Cardiology, Tsukazaki Hospital, Himeji, Hyogo, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Kusuyama
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Iida
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Takeshita
authors.forename: Ryotaro
authors.initials: R
authors.lastname: Wake
authors.forename: Shinichi
authors.initials: S
authors.lastname: Shimodozono
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kanamitsu
authors.forename: Hideya
authors.initials: H
authors.lastname: Mitsui
authors.forename: Yukio
authors.initials: Y
authors.lastname: Yamada
keywords: deep vein thrombosis; ivc filter; ivc thrombus
references.citation: Perspect Vasc Surg Endovasc Ther. 2005 Dec;17(4):329-39
references.pmid: 16389427
references.citation: Semin Vasc Surg. 1996 Mar;9(1):50-8
references.pmid: 8665027
references.citation: Arch Pathol. 1965 Oct;80(4):365-70
references.pmid: 5836479
references.citation: Arch Surg. 1985 Jul;120(7):806-8
references.pmid: 4015371
references.citation: Arch Intern Med. 1992 Oct;152(10):1985-94
references.pmid: 1417371
references.citation: Arch Intern Med. 2002 Jun 10;162(11):1245-8
references.pmid: 12038942
references.citation: J Vasc Surg. 1992 Nov;16(5):701-6
references.pmid: 1433657
references.citation: Circulation. 2003 Jun 17;107(23 Suppl 1):I4-8
references.pmid: 12814979
references.citation: Can Fam Physician. 2008 Jan;54(1):49-55
references.pmid: 18208955
references.citation: N Engl J Med. 1998 Feb 12;338(7):409-15
references.pmid: 9459643