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Total inferior vena cava thrombosis following coronary artery bypass surgery
Insights
A rare case of massive inferior vena cava (IVC) thrombosis and pulmonary emboli occurred after coronary bypass surgery (CABG). Prompt thrombolytic and anticoagulant therapy led to a good recovery in this unusual presentation.
Area of Science:
- Cardiovascular Surgery
- Vascular Medicine
- Thrombotic Disorders
Background:
- Coronary artery bypass grafting (CABG) is a common cardiovascular procedure.
- Inferior vena cava (IVC) thrombosis is a rare but serious complication.
- Post-operative complications following CABG can include thrombotic events.
Observation:
- A 44-year-old male developed severe abdominal and back pain post-CABG.
- Computed tomography and IVC contrast cineangiography confirmed total IVC thrombosis.
- The patient also presented with multiple pulmonary emboli.
Findings:
- The presentation of massive IVC thrombosis post-CABG is highly unusual.
- Key clinical features included severe pain, elevated erythrocyte sedimentation rate, and absence of early peripheral edema or overt organ dysfunction.
- This case represents a unique manifestation of post-operative thrombotic complications.
Implications:
- Early recognition and prompt treatment of IVC thrombosis are crucial for patient outcomes.
- This case highlights the importance of considering rare thrombotic complications after CABG.
- Further research may elucidate the specific mechanisms linking CABG to IVC thrombosis.
Abstract:
A 44-yr-old male presented with abdominal and back pain following coronary bypass surgery (CABG). Total inferior vena cava (IVC) thrombosis was then documented by computed tomography as well as IVC contrast cineangiography. Furthermore, the patient developed multiple pulmonary emboli. This presentation with severe abdominal and back pain with lack of early peripheral edema without apparent hepatic or renal dysfunction and with extreme elevation of erythrocyte sedimentation rate seems rather unusual. To our knowledge, such massive IVC thrombosis has not been reported following CABG. Thrombolytic and anticoagulant therapy was utilized with good recovery.