Congenital atresia of the inferior vena cava and antithrombin III deficiency in a young adult: compounding risk factors for deep vein thrombosis.
Congenital atresia of the inferior vena cava and antithrombin III deficiency in a young adult: compounding risk factors for deep vein thrombosis.
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DOI：
10.1136/bcr-2014-205729
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发表时间：
2015-01-27
期刊：
影响因子：
0.9
通讯作者：
Williams, James H
中科院分区：
文献类型：
--
作者：
Muscianese, Laura;Seese, Ronald R;Williams, James H
下腔静脉闭锁（AIVC）是一种罕见的、通常是高级影像学偶然发现的现象，使患者容易形成深静脉血栓（DVT）。对于缺乏诱发危险因素但仍发生广泛或双侧 DVT 的年轻人，应考虑 AIVC。我们描述了一名先前健康的 17 岁男性患者的病例，由于 IVC 上部缺失，加上先前未诊断的抗凝血酶 III 缺乏症，导致广泛的肾静脉血栓。我们讨论这种复杂病症的诊断和治疗。
Atresia, or absence, of the inferior vena cava (AIVC) is a rare, usually fortuitous finding on advanced imaging that predisposes patients to deep venous thrombosis (DVT). In young adults who lack predisposing risk factors but nonetheless develop extensive or bilateral DVTs, AIVC should be considered. We describe a case of a previously healthy 17-year-old male patient who developed an extensive renal vein thrombus due to the absence of the superior portion of his IVC compounded with previously undiagnosed antithrombin III deficiency. We discuss the diagnosis and management of this complicated condition.