Abdominal aortic aneurysm, a rare etiology of deep venous thrombosis
DOI:
https://doi.org/10.32818/reccmi.a3n2a16Keywords:
deep vein thrombosis, inferior vena cava compression, abdominal aortic aneurysm, endovascular repair.Abstract
The most frequent causes of venous thromboembolic disease (VTE) are cancer, surgical interventions and immobilization. In addition, there are more infrequent causes of VTE, such as anatomical malformations or extrinsic com- pressions of the venous system. Despite the low frequency of the latter, we need to take them into account when diagnosing. We present a clinical case of extensive proximal deep vein thrombosis in a resting setting of course of nephritic colic. The final diagnosis was vein cava compression by complicated abdominal aortic aneurysm which required surgical intervention by endovascular repair. The indication of antiaggregant treatment and anticoagulation is discussed in this scenario of complex management, as well.
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Lijfering WM, Rosendaal FR, Cannegieter SC. Risk factors for venous thrombosis-current understanding from an epidemiological point of view. Br J Haematol. 2010; 149: 824-833.
Alkhouli M, Morad M, Narins CR, Raza F, Bashir R. Inferior vena cava thrombosis. JACC Cardiovasc Interv. 2016; 9: 629-643.
Moore RD, Rutter ED, Zapko DR, Kolade VO, Ayyoub SM. Abdominal aortic aneurysm with inferior vena cava compression in association with deep venous thrombosis. Am J Med Sci. 2013; 346: 521-522.
Kent KC, Zwolak RM, Egorova NN, Riles TS, Manganaro A, Moskowitz AJ, et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg. 2010; 52: 539-548.
Chaikof EL, Dalman RL, Eskandari MK, Jackson BM, Lee WA, Mansour MA, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018; 67: 2.
Mehta M, Byrne J, Darling RC 3rd, Paty PS, Roddy SP, Kreienberg PB, et al. Endovascular repair of ruptured infrarrenal abdominal aortic aneurysm is associated with lower 30-day mortality and better 5-year survival rates than open surgical repair. J Vasc Surg. 2013; 57: 368-375.
Caron F, Anand SS. Antithrombotic therapy in aortic diseases: A narrative review. Vasc Med. 2017; 22: 57-65.
Kearon C, Akl EA, Ornelas J, Blaivas A, Jiménez D, Bounameaux H, et al. Antithrombotic therapy for VTE disease: CHEST Guideline and Expert Panel Report. Chest. 2016; 149: 315-352.
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Copyright (c) 2018 María Fuentes-Spínola , Juan Criado-García , Rafael Madrid-Barceló , Laura Limia-Pérez , Marta Fernández-Morales
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