Dr. Omar José Rovira, of the Surgery Program of the Episcopal Medical Center San Lucas.
A patient of 44 years of Puerto Rican demonstration of the medicine that the world of venous pathologies continues to support unusual cases in scientific literature.
And it is possible to arrive at the emergency rooms with dollars in his pier Izquierda and hinchazon registered by the age of 15 years and he has been diagnosed thrombosis de vena found in this pierna and treated therapeutically with anticoagulant drugs and compression media, supported by Medicine and Public Health (MSP) the doctor Omar José Rovira, of the Program of Surgery of the Episcopal Medical Center San Lucas.
La thrombosis deep vein (TVP) is an infection that occurs when forming a blood clot in a vena deep. For the general form in the lower part of the piernas, the muscles or the pelvis and the pueden appear in the brazo.
“We will build a Duplex studio to see in depth what we can do with this patient. With this study we can prove that the patient has a deep vein thrombosis of his veins. The manejamos conservadoramento con compression media, and the anticoagulant deema at this moment ”, said.
“Three months later, the persistent symptoms persisted, and we decided to set up an image studio. In the CT scan we saw a structure in the aortic layer of the aorta, large, which does not look like it is located there. If a duplicate vein is treated ”, revealed.
The vena cava is separated from the major veins of the body. Exist a vena superior cava or descendant and receives the song of the superior body of the body, and other inferior or ascendant, which recovers the song of organs located below the diaphragm. Ambas desembocan in the auricula derecha del corazón.
“We decided to have an operating room to make a venogram and we would see the vena cava of the right derailleur, which is anatomically assumed to be here, and we will see a structure of vena cava duplicated in the drawer where the vena cava is located. of the duodenal cava near the aorta. Ya esta pasiente llevaba demasiado tiempo con este padecimiento ”, oorloed.
An angioplasty procedure of the venous system and the collocation of a “stent” of the vena additional cava that this patient presents will logically monitor the patient’s clinical and chronic scenario.
“The duplicate vein unites with the renal vein before joining the vena cava of the right ear. We use an “Intravascular Ultrasound” for this renal vein not to be occluded. The anticoagulant continuum, the antiplaque drug administrators, and the three months of evaluation, the stent colocado followed in function, the patient does not present any type of sinuses and the piercing izquierda is the same as the piercing derecha (normally) ) ”, Scored.
As for this type of case in literature, the Dr. Rovira supports that figure between 0.3%, since these are only rarely registered in patients.
“Thrombosis of a deep vein that this patient presents in a chronic manner is the origin of the vena cava that is additional. Al tener double cava, el drenaje venoso de ella geen era normal. Securing this property will be the first case of this type registered in Puerto Rico “, concluded.