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Stenosis of the Inferior Vena Cava: A Murine Model of Deep Vein Thrombosis
Published on: December 22, 2017
Inferior vena cava malformation as a risk factor for deep venous thrombosis in the young
Y L Chee1, D J Culligan, H G Watson
1Department of Haematology, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN, UK.
Insights
Inferior vena cava (IVC) anomaly is a rare cause of spontaneous deep vein thrombosis (DVT) in young patients. This congenital condition, potentially leading to venous stasis, was observed at a higher rate than expected in patients with unprovoked DVT.
Area of Science:
- Vascular Medicine
- Thrombosis Research
- Congenital Abnormalities
Background:
- Hypercoagulable states and venous stasis are known risk factors for deep vein thrombosis (DVT).
- Recent research highlights acquired risk factors contributing to hypercoagulability.
- Congenital anomalies of the venous system are less commonly recognized as DVT precursors.
Purpose of the Study:
- To investigate the potential association between inferior vena cava (IVC) anomalies and spontaneous, unprovoked deep vein thrombosis (DVT) in young patients.
- To determine if IVC anomalies occur at a higher frequency than expected in this patient demographic.
- To highlight the diagnostic consideration of IVC anomalies in specific DVT cases.
Main Methods:
- Retrospective case series analysis over a 3-year period.
- Identification of patients presenting with spontaneous, unprovoked deep vein thrombosis (DVT).
- Evaluation for congenital anomalies of the inferior vena cava (IVC).
Main Results:
- Four young patients with spontaneous, unprovoked DVT were found to have an inferior vena cava (IVC) anomaly.
- This represents an observed rate of 5%, significantly higher than the expected 0.5%.
- Three of the four patients with IVC anomaly presented with bilateral deep vein thrombosis (DVT).
Conclusions:
- Inferior vena cava (IVC) anomaly is a rare but potentially significant congenital condition predisposing to deep vein thrombosis (DVT).
- The findings suggest IVC anomalies may contribute to DVT development through mechanisms favoring venous stasis.
- Consideration of IVC anomaly is warranted in young patients presenting with spontaneous and bilateral DVT.
Abstract:
Conditions which result in hypercoagulable blood or venous stasis may predispose to the development of deep vein thrombosis (DVT). Most of the recently described risk factors for DVT induce a hypercoagulable state. Over a 3-year period we have observed anomaly of the inferior vena cava (IVC) in four young patients presenting with spontaneous unprovoked DVT. This is a greater than expected rate (5% observed versus 0.5% expected). Further, bilateral DVT, which constitutes less than 10% of cases in most series, was present in three of the four cases. Anomaly of the IVC is a rare example of a prevalent congenital condition that predisposes to DVT, presumably by favouring venous stasis. This diagnosis should be considered in young patients with spontaneous and bilateral DVT.
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