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Developments in Anaesthetics & Pain Management

Endovascular Treatment of Acute Pulmonary Artery Trunk Embolism Following Thrombosis of Double Inferior Vena Cava

Submission: March 11, 2021; Published: March 19, 2020

DOI: 10.31031/DAPM.2020.02.000524

ISSN 2640-9399
Volume2 Issue1


A double Inferior Vena Cava (IVC) is a rare disease but can cause venous thrombosis and pulmonary embolism. We herein describe a patient who was admitted for evaluation of syncope. A severe pulmonary trunk embolism was found by computed tomography pulmonary angiography, but ultrasound showed no deep vein thrombosis in the lower extremity. A double IVC accompanied by floating thrombi was found during IVC angiography, and the double IVC converged above the renal veins. A temporary filter was implanted through the right internal jugular vein, and catheter-directed thrombolysis in both the pulmonary artery and IVC was performed. The patient recovered smoothly.

Conclusion: For patients with pulmonary embolism and no thrombosis in the deep veins of the lower extremities, the source of the thrombi should be clarified and the possibility of IVC malformation should be considered.

Keywords: Double inferior vena cava; Vessel anomalies; Pulmonary embolism; Catheter-directed thrombolysis

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