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BMJ Case Rep 2021 Jun 7;14(6). Epub 2021 Jun 7.

Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada.

An 85-year-old man with a known history of abdominal aortic aneurysm (AAA) presented to a vascular surgery clinic with a severely swollen, tender and erythematous left leg. An urgent CT angiogram demonstrated a left-sided, proximal deep vein thrombosis, and a permanent, Bird's Nest inferior vena cava (IVC) filter (Cook, Inc., Bloomington, Ind. Read More

Colorectal Dis 2021 Jun 6. Epub 2021 Jun 6.

Peritoneal Malignancy Institute, Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom.

Aims: Patients with abdominal cancer requiring major surgical intervention, are at high risk of venous thrombo-embolic events (VTE), particularly pulmonary emboli (PE). A proportion of patients with cancer can present with, or have had, major VTEs prior to definitive surgical treatment. Pre-operative percutaneous inferior venal caval filters (IVCF) may reduce the risk of PE. Read More

Medicine (Baltimore) 2021 May;100(21):e26081

Department of Liver Surgery & Liver Transplantation, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy.

Rationale: Hepatocellular carcinoma (HCC) with inferior vena cava tumor thrombus (IVCTT) is traditionally considered an advanced-stage cancer with a poor prognosis. There is no standard treatment for patients diagnosed as HCC with IVCTT.

Patient Concerns: A 52-year-old man was admitted to our hospital because of suspected hepatic mass during a health examination. Read More

Vasc Med 2021 May 20:1358863X211014581. Epub 2021 May 20.

Prisma Health, Greenville, SC, USA.

Exp Clin Transplant 2021 May 6. Epub 2021 May 6.

From the Centre for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.

Objectives: Adequate venous outflow is one of the most important factors responsible for optimal graft function in liver transplantation. Thrombosis of the inferior vena cava in cases of Budd-Chiari syndrome poses a major challenge to a transplant surgeon in establishing proper graft outflow. In deceased donor liver transplant, this problem can be dealt with relative ease as the liver graft includes donor inferior vena cava. Read More

Rev Med Chil 2020 Dec;148(12):1833-1837

Hospital San Martín de Quillota, Quillota, Chile.

Abnormalities of the inferior vena cava are rare. Its embryological development occurs between the sixth and eighth week of gestation and depends on the persistence or regression of three pairs of veins: the posterior cardinal veins, the subcardinal veins and the supracardinal veins. The type of congenital alteration depends on the moment that embryogenesis is altered. Read More

BMJ Case Rep 2021 Apr 9;14(4). Epub 2021 Apr 9.

College of Medicine, Florida State University, Sarasota, Florida, USA.

A healthy 32-year-old G3P3 woman with an unknown last menstrual period presented to the emergency department with intense abdominal pain and pain in the right chest that radiated down the right arm. Further workup showed that she had a ruptured ectopic pregnancy with significant haemoperitoneum. After successful laparoscopic evacuation of the ectopic pregnancy and haemoperitoneum, the patient subsequently developed a right ovarian vein thrombosis 4 weeks after the procedure. Read More

Angiol Sosud Khir 2021 ;27(1):169-174

Cardiosurgical Department, Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Hereditary thrombophilia is rare pathology giving rise to a ninefold increase in the risk for the development of thromboembolism in infants. The problem is multifactorial and characterized by high mortality, especially in neonates. Infants who develop thrombosis, particularly those with no family history, are often subjected to testing for hereditary thrombophilia. Read More

Angiol Sosud Khir 2021 ;27(1):91-95

Department of Surgery #3, Alexandrovskaya Hospital, Saint Petersburg, Russia.

Demonstrated in the article are the results of catheter-directed thrombolysis in a male patient presenting with bilateral acute iliofemoral venous thrombosis on the background of aplasia of the inferior vena cava. The incidence rate of this pathology is specified, with an emphasis on no recommendations on choosing optimal therapeutic strategy in this cohort of patients. The main causes and complications of the disease are described. Read More

Pan Afr Med J 2020 18;37:355. Epub 2020 Dec 18.

Department of Cardiology, Mohamed V Military Hospital, Mohammed V University, Rabat, Morocco.

Right heart thrombi can form in situ or lodge in the right cardiac chambers, originating from deep venous thrombosis. The latter carries a poor prognosis, taking into account the very high mortality rate. We herein report a case of an 83-year-old man who developed thrombus in the inferior vena cava that extended up to the right atrium, along with two distinct masses attached to the right ventricle wall. Read More

Am J Case Rep 2021 Mar 12;22:e929599. Epub 2021 Mar 12.

Department of Radiology, Faculty of Medicine, Hashemite University, Zarqa, Jordan.

BACKGROUND Inferior vena cava (IVC) filters are indicated for patients with recurrent venous thrombosis despite proper anticoagulation or whenever anticoagulation is contraindicated. IVC filter deployment is an invasive procedure with various complications. One example is IVC filter limb fracture and migration, which is associated with significant morbidity and/or mortality. Read More

Medicine (Baltimore) 2021 Feb;100(8):e24892

Department of Anesthesiology, Peking University Third Hospital, Beijing, P.R. China.

Rationale: Carbon dioxide pneumoperitoneum in laparoscopic surgery can bring about occult perioperative cerebral infarction, advancing our understanding of the causes of severe postoperative delayed recovery.

Patient Concerns: Here, we report the case of a 35-year-old woman who underwent a right renal tumor resection in our institution, during which a raised pneumoperitoneum pressure (from 15 to 20 mm Hg) was adopted by the surgeon to prevent errhysis and to help stop the bleeding. Despite an accidental minor tearing of the inferior vena cava, vital signs remained stable throughout the procedure, and no obvious abnormality was observed in either end tidal carbon dioxide values or blood gas analysis. Read More

J Card Surg 2021 Apr 24;36(4):1541-1542. Epub 2021 Feb 24.

Department of Cardiovascular Surgery, The Affiliated Hospital Of Southwest Medical University, Luzhou, China.

BMJ Case Rep 2021 Feb 23;14(2). Epub 2021 Feb 23.

Internal Medicine, McLaren Regional Medical Center, Flint, Michigan, USA.

Ovarian vein thrombosis (OVT) is a condition most commonly associated with malignancy, hypercoagulable disorders, pelvic surgery, trauma, inflammatory bowel disease and the postpartum period. Idiopathic bilateral OVT is extremely rare. We report the case of a 30-year-old African-American woman who presented with bilateral lower pelvic pain and nausea. Read More

Ann Vasc Surg 2021 Feb 5. Epub 2021 Feb 5.

University of Colorado-Anschutz Medical Campus, Division of Vascular Surgery, Denver, Colorado. Electronic address:

Recanalization of chronic iliofemoral deep vein thrombosis is indicated to reduce symptoms and improve quality of life. However, recanalization is dependent on the ability to cross chronic obstructions. We present a case of chronically thrombosed inferior vena cava and common iliac veins that failed conventional crossing techniques but were successfully recanalized using the recently approved Upstream GoBack Crossing Catheter. Read More

Curr Urol Rep 2021 Feb 8;22(4):23. Epub 2021 Feb 8.

Urology Department, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1181ACH, Buenos Aires, Argentina.

Purpose Of Review: To review the evidence regarding the current trends in surgical management of renal cell carcinoma (RCC) with inferior vena cava (IVC) thrombosis. Recent published series have shown the role of minimally invasive surgery in IVC thrombectomy. This review article evaluates the present RCC with venous extent literature to assess the role of open and minimally invasive surgery in this scenario. Read More

Vasc Endovascular Surg 2021 Jul 4;55(5):505-509. Epub 2021 Feb 4.

Department of Diagnostic and Interventional Radiology, University of Insubria, Circolo Hospital, Varese, Italy.

The most common cause of neoplastic thrombotic infiltration of the inferior vena cava is renal cell carcinoma (RCC). In the present report we described a case of a patient with massive RCC and extensive neoplastic thrombosis reaching the retrohepatic tract of the inferior vena cava. After a discussion in a multidisciplinary team meeting we decided to perform a radical nephrectomy with vena cava thrombectomy along with the support of a novel removable vena cava filter in order to avoid thromboembolism during the surgical procedure. Read More

QJM 2021 04;114(2):147

From the Department of Surgery, Tsukuba Gakuen Hospital, 2573-1 Kamiyokoba, Tsukuba, Ibaraki 305-0854, Japan.

QJM 2021 04;114(2):148-149

From the Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Clin Biomech (Bristol, Avon) 2021 02 28;82:105256. Epub 2020 Dec 28.

China University of Mining and Technology, No.1, Daxue Road, Xuzhou, Jiangsu, China.

Background: This study aimed to adopt computational fluid dynamics to simulate the blood flow dynamics in inferior vena cava stenosis based on time-dependent patient-specific models of Budd-Chiari syndrome as well as a normal model. It could offer valuable references for a retrospective insight into the underlying mechanisms of Budd-Chiari syndrome pathogenesis as well as more accurate evaluation of postoperative efficacy.

Methods: Three-dimensional inferior vena cava models of Budd-Chiari syndrome patient-specific (preoperative and postoperative) and normal morphology model were reconstructed as per magnetic resonance images using Simpleware. Read More

Perm J 2020 11;24:1-6

Drexel University College of Medicine, Philadelphia, PA.

Introduction: Birt-Hogg-Dubé syndrome and hereditary paraganglioma-pheochromocytoma syndrome are rare genetic cancer syndromes that predispose patients to renal neoplasia. We report a case of a 25-year-old man with both Birt-Hogg-Dubé syndrome and hereditary paraganglioma-pheochromocytoma syndrome who presented with painless gross hematuria and was found to have metastatic clear cell renal carcinoma.

Case Presentation: A previously healthy, 25-year-old man presented to his outpatient primary care physician with painless gross hematuria. Read More

J Biomed Nanotechnol 2020 Nov;16(11):1623-1632

This study aims to evaluate the efficiency of a novel technique in clot capturing and dissolving them by applying magnetic force on magnetic nanoparticles (MNP) carrying thrombolytic agents. It is a quick and simple method to protect patients from a life-threatening pulmonary embolism in an emergency to provide time for the medical team. To analyze the in vitro efficiency of nano-magnetic capturing and dissolving of clots (NCDC), different levels of process parameter including strength magnetic field (0. Read More

Eur J Intern Med 2021 04 7;86:73-78. Epub 2021 Jan 7.

Internal Medicine, Hospital Universitari de Bellvitge - Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.

Background: Temporary inferior vena cava (IVC) filters are not always retrieved. Information about long-term outcomes of patients with indwelling filters is scarce. Aims of our study were to assess reasons that preclude retrieval of temporary IVC filters and long-term outcomes and causes of death in patients with indwelling filters. Read More

Croat Med J 2020 Dec;61(6):555-560

Marin Pavlov, Department of Cardiology, Sestre Milosrdnice University Hospital Center, Vinogradska cesta 29, 10000 Zagreb, Croatia,

We report two cases of inferior vena cava (IVC) thrombosis after the retrieval of veno-arterial extracorporeal membrane oxygenation cannulas. In both patients, the venous cannula tips were placed in the upper half of the right atrium, enabling adequate blood drainage. During support, uneventful periods of IVC collapse were detected. Read More

Clin Nucl Med 2021 03;46(3):264-265

Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.

Abstract: A 61-year-old woman was diagnosed with progressive metastatic radioactive iodine refractory differentiated thyroid cancer and underwent multitargeted tyrosine kinase inhibitor (TKI) Donafenib therapy. After 12 months of therapy, she developed resistance to TKI. Considering the limited treatment options available, a 68Ga-prostate-specific membrane antigen (PSMA)-617 PET/CT was conducted for potential therapeutic target. Read More

BMJ Case Rep 2020 Dec 17;13(12). Epub 2020 Dec 17.

Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India.

Renal biopsy is usually a prerequisite in the diagnosis of adult patients with nephrotic syndrome. Acute Budd Chiari syndrome is a known complication of certain aetiologies of nephrotic syndrome like membranous glomerulopathy and minimal change disease. This complication requires emergent anticoagulation, which would preclude the performance of a renal biopsy. Read More

Angiol Sosud Khir 2020 ;26(4):63-69

Clinical Hospital of the Presidential Administration of the Russian Federation, Moscow, Russia.

Described in the article is a clinical case report regarding successful surgical treatment of a female patient with total floating thrombosis of the inferior vena cava and thrombosis of the right atrium, complicated by pulmonary embolism. Our patient was a 42-year-old woman presenting with a clinical pattern of iliofemoral thrombosis. The examination revealed floating thrombosis of the inferior venal cava, right atrial thrombosis, and massive pulmonary embolism. Read More

Medicina (Kaunas) 2020 Dec 14;56(12). Epub 2020 Dec 14.

Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu 41404, Korea.

Budd-Chiari syndrome (BCS) is a rare intrahepatic vascular disease that is characterized by a hepatic venous outflow obstruction. Intravenous leiomyomatosis (ILs) is a rare complication of a myoma. Here, we report a case of BCS that was caused by intracaval ILs. Read More

Clin Imaging 2021 May 3;73:48-52. Epub 2020 Dec 3.

Department of Orthopaedic Surgery, Mount Sinai West Hospital, New York, NY, United States of America.

Case: A 90-year-old male sustained a low energy anterior hip dislocation without fracture after a ground-level fall. Magnetic resonance imaging (MRI) detected femoral vessel compression and thrombosis. The patient underwent placement of an inferior vena cava (IVC) filter prior to successful closed reduction in the operating room. Read More

BMJ Case Rep 2020 Dec 10;13(12). Epub 2020 Dec 10.

Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

We present a case of a young man, known case of ulcerative colitis, who presented with acute onset right flank pain and haematuria. Blood workup showed leucocytosis and raised serum creatinine. Cross-sectional imaging revealed renal vein with inferior vena cava thrombosis. Read More