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Inferior Vena Cava Obstruction and Shock.

Megri Mohammed¹, Shaheed Elhamdani², Waiel Abusnina¹

¹Department of Medicine, Marshall University, Huntington, WV, USA.

Journal of Emergencies, Trauma, and Shock

|June 26, 2018

Summary

Obstructive shock from deep vein thrombosis is rare but treatable. Early recognition of inferior vena cava obstruction can lead to rapid recovery, improving patient survival rates.

Keywords:

Combined septic IVC filter complications deep venous thrombosis obstructive shock

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Stenosis of the Inferior Vena Cava: A Murine Model of Deep Vein Thrombosis

Stenosis of the Inferior Vena Cava: A Murine Model of Deep Vein Thrombosis

Published on: December 22, 2017

Area of Science:

Critical Care Medicine
Cardiovascular Physiology
Vascular Surgery

Background:

Shock is a critical condition with high mortality, necessitating early diagnosis and management.
Septic shock is prevalent in ICUs, but obstructive shock, though less common, has distinct mechanical causes.
Recognizing obstructive shock causes like pneumothorax, pulmonary embolism, and cardiac tamponade is vital.

Observation:

A case of obstructive shock caused by extensive deep venous thrombosis leading to inferior vena cava (IVC) obstruction is presented.
The patient had a low survival chance due to the severity of the IVC obstruction.
Prompt identification and treatment of the IVC obstruction resulted in complete and immediate patient recovery.

Findings:

Inferior vena cava (IVC) obstruction secondary to deep venous thrombosis (DVT) can precipitate obstructive shock.
Treatment of the underlying vascular obstruction is effective in reversing obstructive shock.
Early diagnosis of great vessel occlusion, beyond the pulmonary artery or aorta, is crucial for managing obstructive shock.

Implications:

This case highlights the importance of considering IVC obstruction from DVT as a cause of obstructive shock in critical care settings.
Intensivists and emergency physicians should broaden their differential diagnoses for obstructive shock to include less common great vessel occlusions.
Timely intervention for IVC obstruction can significantly improve outcomes in patients with obstructive shock.