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[Bilateral deep venous thrombosis and vena cava aplasia treated with local thrombolysis]

Anna-Monika Pelta1, Maja Jørgensen, Sven R Lundgren Just

  • 1Gentofte Hospital, Karkirurgisk Afdeling B, Trombosecentret, Hellerup.

Ugeskrift for Laeger
|May 22, 2008
PubMed

Insights

Catheter-directed thrombolysis effectively treated a young patient with deep venous thrombosis (DVT) and vena cava aplasia. This minimally invasive approach achieved significant thrombus resolution, preserving valve function.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Hematology

Background:

  • Deep venous thrombosis (DVT) is a serious condition often requiring complex treatment strategies.
  • Vena cava aplasia presents unique challenges in managing proximal DVT.
  • Catheter-directed thrombolysis offers a minimally invasive option for DVT treatment.

Observation:

  • A young male patient presented with bilateral iliaco-femoral deep venous thrombosis (DVT) and congenital absence of the inferior vena cava (vena cava aplasia).
  • Treatment involved catheter-directed thrombolysis, with catheters introduced via the popliteal vein in both legs.
  • The procedure aimed to dissolve blood clots in the iliac and femoral veins.

Findings:

  • The catheter-directed thrombolysis resulted in near-complete resolution of the deep venous thrombosis.
  • Post-treatment follow-up at three months showed no signs of valvular incompetence.
  • The patient tolerated the procedure well with successful clot removal.

Implications:

  • Catheter-directed thrombolysis is a viable and effective treatment for complex cases of acute proximal DVT, even in the presence of vena cava aplasia.
  • This approach can lead to favorable long-term outcomes, including preserved venous valve function.
  • Consideration of this technique is warranted for challenging DVT presentations to improve patient prognosis.

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