A Free-Floating Thrombus in the Inferior Vena Cava Associated with Lung Cancer: Complete Thrombectomy Using a Simple Clamping Procedure A Case Report

Author:

Kawashima Osamu1,Hirai Toshikazu1,Kamiyoshihara Mitsuhiro1,Kurihara Terumasa1,Ishikawa Susumu2,Morishita Yasuo2

Affiliation:

1. Department of Surgery, National Sanatorium Nishigunma Hospital, Gunma;

2. Second Department of Surgery, Gunma University School of Medicine, Gunma, Japan

Abstract

A 62-year-old woman with inoperable lung cancer received systemic combined chemotherapy with cisplatin and vindesine sulfate. Lower extremity edema occurred after chemotherapy and an iliocavagram revealed a large intraluminal solitary thrombus, which was floating in the inferior vena cava (IVC) and extending up to the level of the renal vein. A thrombectomy using the simple IVC clamping procedure was successfully performed. Primary thrombosis of the IVC is rare, and this is the first reported case associated with lung cancer. A thrombectomy using the simple clamping of the IVC is considered to be a safe and effective procedure for the treatment of a free-floating thrombus in the IVC even in the case of a lung cancer patient.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

Reference12 articles.

1. Trousseau A.: Phlegmasia alba dolens. In: Lectures on Clinical Medicine, Delivered at the Hotel-Dieu, Paris. Translated by Cormack JR. London: New Sydenham Society , 1872, pp 281-295.

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