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KMID : 0357019980140020295
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Journal of the Korean Vascular Surgery Society
1998 Volume.14 No. 2 p.295 ~ p.299
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Prophylactic Placement of Titanium Greenfield Vena Cava Filter before Surgical Removal of the Huge Leiomyoma Uteri Associated with Deep Vein Thrombosis
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Song Kyung-Sup
Kim Seung-Nam
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Abstract
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This is a case report of the prophylactically placed titanium Greenfield vena cava filter to prevent development of pulmonary thromboembolism for the surgical removal of huge leiomyoma uteri associated with deep vein thrombosis. The patient is a 39 year old female who suffered from swelling and pain in both lower extremities for 5 days. She has realized a huge mass in her pelvic cavity and abdomen since 3 years ago and has felt it growing since 1 year ago. CT discloses a heterogeneously enhanced huge mass containing cystic changes and secondary thrombosis in L iliac and L femoral veins due to
compression by the mass. Deep vein thrombosis is detected in ascending venogram of the L leg. A titanium Greenfield vena cava filter was placed with transjugular approach in infrarenal portion of the inferior vena cava. After that the mass was surgically removed. No pulmonary symptom concerning pulmonary thromboembolism has developed following the surgery, but swelling and pain have developed in R leg. Follow-up CT shows new diffuse thrombosis in lower inferior vena cava and R iliac veins below the filter inferiorly, extending to R leg. Antithrombotic treatment was started with heparin and
Coumadin.
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KEYWORD
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Venae cavae, Filters, Venae cavae, Thrombosis
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