[左侧下腔静脉合并肺栓塞患者肾静脉近端置入下腔静脉滤器：1例报告]

[Placement of the inferior vena cava filter proximal to the renal vein in a patient with left-sided inferior vena cava complicated by pulmonary embolism: a case report].

作者信息

Shindo N, Tanaka N, Ogawa T, Shigeta H, Takei Y, Shiobara H, Yamashina A

机构信息

Second Department of Internal Medicine, Tokyo Medical University, Nishi-shinjuku 6-7-1, Shinjuku-ku, Tokyo 160-0023.

出版信息

J Cardiol. 2001 Oct;38(4):225-30.

PMID:11688430

Abstract

A 55-year-old man was admitted to our hospital complaining of dyspnea and chest pain. Transthoracic echocardiography showed dilation of the right ventricle. Chest computed tomography with contrast medium showed multiple emboli in the pulmonary arteries. Venography of the lower extremities showed multiple thrombi in the right popliteal vein and the presence of left-sided vena cava. This unusual case of left-sided vena cava was complicated by deep vein thrombosis due to hemostasis. A Greenfield filter was placed in the vena cava proximal to the right renal vein in a right internal jugular vein approach.

摘要

一名55岁男性因呼吸困难和胸痛入院。经胸超声心动图显示右心室扩张。胸部增强计算机断层扫描显示肺动脉内有多个栓子。下肢静脉造影显示右腘静脉有多个血栓，且存在左侧腔静脉。这种罕见的左侧腔静脉病例因止血导致深静脉血栓形成。通过右颈内静脉途径在右肾静脉近端的腔静脉中置入了一个格林菲尔德滤器。