CASE REPORTS SECTION   

International Angiology 2000 March;19(1):75-8

Copyright © 2001 EDIZIONI MINERVA MEDICA

lingua: Inglese

Free-floating femoral vein thrombus in a patient with aspergillosis

Noel A. A., Gloviczki P., Charboneau J. W.

From the Division of Vascular Surgery, Department of Diagnostic Radiology Mayo Clinic and Foundation, Rochester, Minnesota, USA

The man­age­ment of a free-float­ing throm­bus in the femor­o­pop­li­teal or ili­oc­a­val veins is con­tro­ver­sial. Such ­patients may have an ­increased risk of pul­mo­nary embo­lism. The dif­fe­ren­tial diag­no­sis of intra­lu­mi­nal ­venous malig­nan­cy or sep­tic throm­bo­sis must also be con­sid­ered, espe­cial­ly in immu­no­com­prom­ised ­patients. This ­report ­reviews the man­age­ment of a 56-year-old woman with bron­cho­pul­mo­nary asper­gil­lo­sis who was found to have a free-float­ing throm­bus in the femo­ral vein. Appro­pri­ate preoper­a­tive eval­u­a­tion, empha­siz­ing non-inva­sive stud­ies and duplex exam, are dis­cussed. In addi­tion, the dif­fe­ren­tial diag­no­sis, sur­gi­cal ­options and per­i­op­er­a­tive care are con­sid­ered. This ­patients rep­re­sents a com­plex case of ­venous throm­bo­sis in an immu­no­com­prom­ised ­patient and, there­fore, the opti­mal care to min­i­mize com­pli­ca­tions, such as pul­mo­nary embo­lism, and pre­vent recur­rence or post-throm­bot­ic chang­es, is nec­es­sary.