Thrombosis of the Inferior Vena Cava after Endovascular Aortic Repair in a Patient with May-Thurner Syndrome: Case Report and Literature Review.
Inferior vena cava (IVC) thrombosis is a rare complication of abdominal aortic aneurysm (AAA). A 70-year-old male patient of Italian origin presented with a 9.3 × 8.4 cm infrarenal AAA, which was treated by endovascular aortic repair (EVAR). He reported a history of ulcerative colitis and was on prednisolone 80 mg daily. Seven weeks postoperatively the patient was readmitted with a deep vein thrombosis including both iliac veins and IVC, and bilateral pulmonary embolism. Venous thrombectomy and decompression of the IVC were performed by partial resection of the aneurysm sac. A covered stent was intraoperatively placed in the left common iliac vein to treat compression of the left iliac vein (May-Thurner Syndrome). Enoxaparin (2 × 0.8 mg) and antiplatelet agent with aspirin were administered, as well as intermittent compression therapy to the left leg. This case report describes vena cava thrombosis as a rare complication after EVAR in a patient with May-Thurner syndrome.
Department of Vascular and Endovascular Surgery, Goethe-University-Hospital Frankfurt am Main, Germany.
Firouza
F
Dahi
Department of Vascular and Endovascular Surgery, Goethe-University-Hospital Frankfurt am Main, Germany.
Asimakis
A
Gkremoutis
Department of Diagnostic and Interventional Radiology, Goethe-University-Hospital Frankfurt am Main, Germany.
Marc
M
Harth
Department of Vascular and Endovascular Surgery, Goethe-University-Hospital Frankfurt am Main, Germany.
Thomas
T
Schmitz-Rixen
Department of Vascular and Endovascular Surgery, Goethe-University-Hospital Frankfurt am Main, Germany. Electronic address: michael.keese@kgu.de.
Michael
M
Keese
D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation; D000925:Anticoagulants / Q000008:administration & dosage; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D000072226:Computed Tomography Angiography; D019299:Decompression, Surgical; D057510:Endovascular Procedures; D006801:Humans; D007084:Iliac Vein; D008297:Male; D062108:May-Thurner Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D010690:Phlebography / Q000379:methods; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D015607:Stents; D017131:Thrombectomy; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors