Superior Vena Cava Thrombosis

A 60-year old man presented to our unit for iterative episodes of lipothymia and prominent superficial collateral venous circulation of the trunk (Figure 1a) after he was lost to follow-up for 4 years. He received two successive bone marrow transplantations in 2012 for dendritic cell leukemia. Heterozygous prothrombin G20210A mutation was found after a superior vena cava thrombosis from the implantable port occurred in 2015 with a recurrence in 2016 after anticoagulation was stopped. In 2017, a 12-cm long stent was implanted in the superior vena cava, and tinzaparin was given.
Source: The American Journal of Medicine - Category: General Medicine Authors: Source Type: research