Abstract
A 41-year-old woman, who had no thrombotic risk factors and past history except congenital scoliosis, underwent central venous catheterization (CVC) before correction of the scoliosis. When internal jugular vein (IJV) catheterization using the anatomical landmark technique failed, CVC under ultrasound guidance was tried. As a consequence, thrombosis and hypoplasia of the right IJV were incidentally detected by ultrasonography. Central venous catheters were then successfully placed in other veins under ultrasound guidance. Also, after examinations to rule out the possibility of pulmonary embolism and to clarify the causes of the IJV thrombosis, the patient was found to have protein S deficiency. CVC under ultrasound guidance should be recommended to prevent the failure of cannulation and complications such as thromboembolism in patients who could possibly have anomalies of vessels as a result of anatomical deformities caused by severe scoliosis, even if patients do not have thrombotic risk factors such as a history of central catheter insertion or intravenous drug abuse, cancer, advanced age, cerebral infarction, and left ventricular dysfunction. Also, if venous thrombosis is found in patients without predisposing risk factors, one should ascertain the cause of the hypercoagulable state, for example protein S deficiency, and perform appropriate treatment and prevention of venous thromboembolism.
| Original language | English |
|---|---|
| Pages (from-to) | 930-934 |
| Number of pages | 5 |
| Journal | Journal of Anesthesia |
| Volume | 25 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2011 Dec 1 |
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Keywords
- Protein S deficiency
- Ultrasonography
- Venous hypoplasia
- Venous thrombosis
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Internal jugular vein thrombosis associated with venous hypoplasia and protein S deficiency revealed by ultrasonography. / Lim, Byung Gun; Kim, Young Min; Kim, Heezoo; Lim, Sang Ho; Lee, Mi Kyoung.
In: Journal of Anesthesia, Vol. 25, No. 6, 01.12.2011, p. 930-934.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Internal jugular vein thrombosis associated with venous hypoplasia and protein S deficiency revealed by ultrasonography
AU - Lim, Byung Gun
AU - Kim, Young Min
AU - Kim, Heezoo
AU - Lim, Sang Ho
AU - Lee, Mi Kyoung
PY - 2011/12/1
Y1 - 2011/12/1
N2 - A 41-year-old woman, who had no thrombotic risk factors and past history except congenital scoliosis, underwent central venous catheterization (CVC) before correction of the scoliosis. When internal jugular vein (IJV) catheterization using the anatomical landmark technique failed, CVC under ultrasound guidance was tried. As a consequence, thrombosis and hypoplasia of the right IJV were incidentally detected by ultrasonography. Central venous catheters were then successfully placed in other veins under ultrasound guidance. Also, after examinations to rule out the possibility of pulmonary embolism and to clarify the causes of the IJV thrombosis, the patient was found to have protein S deficiency. CVC under ultrasound guidance should be recommended to prevent the failure of cannulation and complications such as thromboembolism in patients who could possibly have anomalies of vessels as a result of anatomical deformities caused by severe scoliosis, even if patients do not have thrombotic risk factors such as a history of central catheter insertion or intravenous drug abuse, cancer, advanced age, cerebral infarction, and left ventricular dysfunction. Also, if venous thrombosis is found in patients without predisposing risk factors, one should ascertain the cause of the hypercoagulable state, for example protein S deficiency, and perform appropriate treatment and prevention of venous thromboembolism.
AB - A 41-year-old woman, who had no thrombotic risk factors and past history except congenital scoliosis, underwent central venous catheterization (CVC) before correction of the scoliosis. When internal jugular vein (IJV) catheterization using the anatomical landmark technique failed, CVC under ultrasound guidance was tried. As a consequence, thrombosis and hypoplasia of the right IJV were incidentally detected by ultrasonography. Central venous catheters were then successfully placed in other veins under ultrasound guidance. Also, after examinations to rule out the possibility of pulmonary embolism and to clarify the causes of the IJV thrombosis, the patient was found to have protein S deficiency. CVC under ultrasound guidance should be recommended to prevent the failure of cannulation and complications such as thromboembolism in patients who could possibly have anomalies of vessels as a result of anatomical deformities caused by severe scoliosis, even if patients do not have thrombotic risk factors such as a history of central catheter insertion or intravenous drug abuse, cancer, advanced age, cerebral infarction, and left ventricular dysfunction. Also, if venous thrombosis is found in patients without predisposing risk factors, one should ascertain the cause of the hypercoagulable state, for example protein S deficiency, and perform appropriate treatment and prevention of venous thromboembolism.
KW - Protein S deficiency
KW - Ultrasonography
KW - Venous hypoplasia
KW - Venous thrombosis
UR - http://www.scopus.com/inward/record.url?scp=84255205033&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84255205033&partnerID=8YFLogxK
U2 - 10.1007/s00540-011-1233-1
DO - 10.1007/s00540-011-1233-1
M3 - Article
VL - 25
SP - 930
EP - 934
JO - Journal of Anesthesia
JF - Journal of Anesthesia
SN - 0913-8668
IS - 6
ER -