BACKGROUND Porto-mesenteric venous thrombosis (PMVT) is an infrequent but severe surgical complication developing in patients who underwent laparoscopic bariatric surgery (sleeve gastrectomy). Herein, we describe the clinical presentation, management, and outcome of 3 rare cases of PMVT after laparoscopic sleeve gastrectomy (LSG), successfully treated at our center. CASE REPORT All patients d...

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P rosthetic heart valve thrombosis (PVT) is a rare complication , with an estimated incidence of 0.1% to 5.7% per patient-year. 1 However, during pregnancy, changes in the hemostatic system lead to a procoagulant state that increases the risk of PVT up to 10%. 2 This maternal and fetal life-threatening complication is mostly preventable with long-term adequate anticoagulation therapy. When anti...

We report a case of extensive venous thrombosis of the upper extremity in a patient with a hyperosmolar hyperglycemic state (HHS). Thrombosis of the upper extremities is generally found in 4% of cases with deep venous thrombosis. Extensive, symptomatic venous thrombosis of the upper extremity, as seen in this patient, is rare except with catheter-related thrombosis. Recent studies have supporte...

Pulmonary embolism (PE) and deep vein thrombosis encompass the syndrome of venous thromboembolism (VTE). In the United States, VTE has a reported incidence of 1 in 1,000 persons yearly and account for approximately 250,000 hospitalizations each year.1 As many as 50 to 60% of patients with deep vein thrombosis develop symptomatic or asymptomatic PE.2 The case-fatality ratio for PE has been repor...

Background. Thrombolytic therapy is a promising alternative to valve replacement in the management of prosthetic valve thrombosis. We sought to determine the shortand long-term results of treating thrombosed St. Jude heart valves with thrombolytic therapy as the primary treatment modality. Methods and Results. Between March 1978 and December 1991, 988 patients underwent implantation of St. Jude...

In the absence of significant symptoms and signs the diagnosis of pulmonary embolism remains difficult. Sensitivity and specificity of laboratory tests, chest x-ray, ECG, echocardiography and venous studies on their own is low. Ventilation-perfusion scanning establishes or excludes the diagnosis only in those patients with "high-probability" or "normal" scanning results. The diagnosis of pulmon...

OBJECTIVE To investigate the pathogenesis, clinical features, radiographic findings and therapeutic outcomes of non-acute intracranial deep venous thrombosis in adults. METHODS Five patients who presented with increased intracranial pressure were examined with computed tomography, magnetic resonance and angiography, diagnosed as having non-acute intracranial deep venous thrombosis, and treate...

eparin is commonly used as a bridge before surgery in patients who are treated with oral anticoagulants to prevent thromboembolic complications. In addition, heparin is also indicated as an alternative to warfarin during the first trimester of pregnancy to avoid the risk of fetal embryopathy.1 Risk of thromboembolism, however, may be increased by the use of heparin compared with continuous use ...