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Updated: Aug 1, 2026

Electrolytic Inferior Vena Cava Model (EIM) of Venous Thrombosis
Published on: July 12, 2011
Simultaneous bilateral upper extremity venous thrombosis in a factor V Leiden heterozygote: a case report and review
V V Sullivan1, S W Wolk, W M Whitehouse
1Department of Surgery, St. Joseph Mercy Hospital, Michigan Heart and Vascular Institute, 5325 Elliott Drive, Ann Arbor, MI 48106, USA.
Abstract:
Primary upper extremity deep venous thrombosis (DVT), or effort thrombosis, typically occurs in young, healthy individuals with a history of repetitive upper extremity movement while secondary upper extremity DVT is associated with a number of predisposing factors. The role of factors such as hypercoagulability in the development of effort thrombosis is less well described. This report describes a previously healthy 21-year-old man who presented with simultaneous bilateral upper extremity DVT after hours of pushing and lifting a heavy wheelbarrow. Treatment included thrombolytic therapy followed by delayed venolysis and vein patch angioplasty. Hypercoagulable screening revealed factor V Leiden heterozygous characteristics.
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