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A Free-Floating Thrombus in the Inferior Vena Cava Associated with Lung Cancer: Complete Thrombectomy Using a Simple Clamping Procedure A Case Report

Department of Surgery, National Sanatorium Nishigunma Hospital, Gunma;

Toshikazu Hirai, MD

Department of Surgery, National Sanatorium Nishigunma Hospital, Gunma;

Mitsuhiro Kamiyoshihara, MD

Department of Surgery, National Sanatorium Nishigunma Hospital, Gunma;

Terumasa Kurihara, MD

Department of Surgery, National Sanatorium Nishigunma Hospital, Gunma;

Susumu Ishikawa, MD

Second Department of Surgery, Gunma University School of Medicine, Gunma, Japan

Yasuo Morishita, MD

Second Department of Surgery, Gunma University School of Medicine, Gunma, Japan

A 62-year-old woman with inoperable lung cancer received systemic combined chemotherapy with cisplatin and vindesine sulfate. Lower extremity edema occurred after chemotherapy and an iliocavagram revealed a large intraluminal solitary thrombus, which was floating in the inferior vena cava (IVC) and extending up to the level of the renal vein. A thrombectomy using the simple IVC clamping procedure was successfully performed. Primary thrombosis of the IVC is rare, and this is the first reported case associated with lung cancer. A thrombectomy using the simple clamping of the IVC is considered to be a safe and effective procedure for the treatment of a free-floating thrombus in the IVC even in the case of a lung cancer patient.

Vascular and Endovascular Surgery, Vol. 32, No. 4, 391-395 (1998)
DOI: 10.1177/153857449803200421


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