The Experts below are selected from a list of 156 Experts worldwide ranked by ideXlab platform
Livio Dei Cas - One of the best experts on this subject based on the ideXlab platform.
-
absence of inferior vena cava as a rare cause of deep venous thrombosis complicated by liver and Lung Embolism
International Journal of Cardiology, 2003Co-Authors: Antonio Daloia, Pompilio Faggiano, Claudia Fiorina, Enrico Vizzardi, Luca Bontempi, Luigi Grazioli, Livio Dei CasAbstract:Congenital anomalies of the inferior vena cava such as absence or atresia are uncommon vascular defects and result from aberrant development during embryogenesis. We report a case of a young female patient affected by proximal deep venous thrombosis (DVT) complicated by liver and pulmonary Embolism; subsequent extensive evaluation revealed the congenital absence of infrarenal inferior vena cava, with emboli probably occurring through collateral veins. Accordingly, in young patients with idiopathic DVT of the lower extremities and pelvic veins, the presence of inferior vena cava abnormalities should always be considered and investigated, together with classic coagulation factors, as a factor predisposing to thromboembolic complications.
Hellmut Mehnert - One of the best experts on this subject based on the ideXlab platform.
-
Incidence and symptomatology of Lung Embolism in relation to the site of deep venous thrombosis
Vasa-european Journal of Vascular Medicine, 1991Co-Authors: Stiegler H, Weichenhain B, Chatzopulos D, Mathies R, Standl R, Eberhard Standl, Hellmut MehnertAbstract:: The uncertainty about the true incidence of pulmonary Embolism (PE) in connection with deep venous thrombosis (DVT) becomes evident when comparing the results of autopsy--vs. clinical studies, with the former showing a three-fold elevated rate of embolisation. In order to evaluate the percentage of clinically inapparent PE, all patients (65 females, 54 males, mean age 61.3 years) hospitalized between April 1989 and March 1990 with suspected DVT and/or PE underwent duplex-sonography and pulmonary scintigraphy. In 108 cases, DVT could be ascertained, whereas 11 patients only suffered from PE. In 57.4% of all DVT, PE was diagnosed. Of the 73 cases with PE, only 53.4% of the patient stated typical symptoms primarily. In more than 1/4 of the patients with primary symptoms of PE, no DVT could be diagnosed. There was no significant difference between the occurrence of PE in relation to the localisation of DVT, with 1/3 to 1/2 being asymptomatic. 1/4 of the patients with leg-thrombosis and 1/7 with thrombosis of the iliac vein did not complain of typical symptoms of thrombosis. Furthermore, an increased PE-rate seems to occur with an elevated ultrasound echogenity of the thrombus. As a result of the study pulmonary szintigrams seem to be indicated in all cases of DVT in order to evaluate the total PE risk.
-
Incidence and symptomatology of Lung Embolism in relation to the site of deep venous thrombosis
Vasa-european Journal of Vascular Medicine, 1991Co-Authors: Stiegler H, Weichenhain B, Chatzopulos D, Mathies R, Standl R, Eberhard Standl, Hellmut MehnertAbstract:: The uncertainty about the true incidence of pulmonary Embolism (PE) in connection with deep venous thrombosis (DVT) becomes evident when comparing the results of autopsy--vs. clinical studies, with the former showing a three-fold elevated rate of embolisation. In order to evaluate the percentage of clinically inapparent PE, all patients (65 females, 54 males, mean age 61.3 years) hospitalized between April 1989 and March 1990 with suspected DVT and/or PE underwent duplex-sonography and pulmonary scintigraphy. In 108 cases, DVT could be ascertained, whereas 11 patients only suffered from PE. In 57.4% of all DVT, PE was diagnosed. Of the 73 cases with PE, only 53.4% of the patient stated typical symptoms primarily. In more than 1/4 of the patients with primary symptoms of PE, no DVT could be diagnosed. There was no significant difference between the occurrence of PE in relation to the localisation of DVT, with 1/3 to 1/2 being asymptomatic. 1/4 of the patients with leg-thrombosis and 1/7 with thrombosis of the iliac vein did not complain of typical symptoms of thrombosis. Furthermore, an increased PE-rate seems to occur with an elevated ultrasound echogenity of the thrombus. As a result of the study pulmonary szintigrams seem to be indicated in all cases of DVT in order to evaluate the total PE risk.
Antonio Daloia - One of the best experts on this subject based on the ideXlab platform.
-
absence of inferior vena cava as a rare cause of deep venous thrombosis complicated by liver and Lung Embolism
International Journal of Cardiology, 2003Co-Authors: Antonio Daloia, Pompilio Faggiano, Claudia Fiorina, Enrico Vizzardi, Luca Bontempi, Luigi Grazioli, Livio Dei CasAbstract:Congenital anomalies of the inferior vena cava such as absence or atresia are uncommon vascular defects and result from aberrant development during embryogenesis. We report a case of a young female patient affected by proximal deep venous thrombosis (DVT) complicated by liver and pulmonary Embolism; subsequent extensive evaluation revealed the congenital absence of infrarenal inferior vena cava, with emboli probably occurring through collateral veins. Accordingly, in young patients with idiopathic DVT of the lower extremities and pelvic veins, the presence of inferior vena cava abnormalities should always be considered and investigated, together with classic coagulation factors, as a factor predisposing to thromboembolic complications.
Burkhard Bewig - One of the best experts on this subject based on the ideXlab platform.
-
Scintigraphy Leading to the Misdiagnosis of Chronic Thromboembolic Disease in a Patient With Pulmonary Veno-Occlusive Disease
Circulation, 2016Co-Authors: Lorenz Balke, Marcus Both, Christine Winkler, Tina Schreiber, Christoph Röcken, Karoline Koch, Burkhard BewigAbstract:A 43-year-old woman experienced increasing dyspnea over a period of 1 year. She was examined first at an outside hospital. Diagnostic workup revealed an elevated precapillary mean pulmonary arterial pressure of >44 mm Hg. Left ventricular function was nearly normal (cardiac index, 2.1 L/min·m2; pulmonary wedge pressure, 15 mm Hg). Computed tomography of the Lung demonstrated regional ground glass opacities and pleural effusions but no signs of pulmonary Embolism. Perfusion and ventilation scintigraphy showed perfusion defects typical for peripheral Lung Embolism (Figure 1). The diagnosis of chronic thromboembolic pulmonary hypertension was made. There was no correlate in pulmonary angiography …
Luigi Grazioli - One of the best experts on this subject based on the ideXlab platform.
-
absence of inferior vena cava as a rare cause of deep venous thrombosis complicated by liver and Lung Embolism
International Journal of Cardiology, 2003Co-Authors: Antonio Daloia, Pompilio Faggiano, Claudia Fiorina, Enrico Vizzardi, Luca Bontempi, Luigi Grazioli, Livio Dei CasAbstract:Congenital anomalies of the inferior vena cava such as absence or atresia are uncommon vascular defects and result from aberrant development during embryogenesis. We report a case of a young female patient affected by proximal deep venous thrombosis (DVT) complicated by liver and pulmonary Embolism; subsequent extensive evaluation revealed the congenital absence of infrarenal inferior vena cava, with emboli probably occurring through collateral veins. Accordingly, in young patients with idiopathic DVT of the lower extremities and pelvic veins, the presence of inferior vena cava abnormalities should always be considered and investigated, together with classic coagulation factors, as a factor predisposing to thromboembolic complications.
