A UNIQUE APPROACH IN THE MANAGEMENT OF VENA-CAVAL THROMBOSIS IN A PATIENT WITH KLIPPEL-TRENAUNAY-SYNDROME

Vena caval thrombosis has posed a surgical therapeutic challenge for m any years. Historically, spiral vein grafts and synthetic materials us ed as prostheses have had variable results. The use of the stent may s erve as a more promising alternative when used in the capacity to reli eve caval obstruction. A case is' reported in which a young woman with Klippel-Trenaunay syndrome has exercise intolerance and associated hy potensive cardiovascular collapse caused by inferior vena caval thromb osis. Recanalization of her inferior vena cava was successfully achiev ed and subsequently maintained through the placement of two Wallstents across the lesion. Although most venous stenting procedures have thus far been used in the treatment of venous obstruction caused by malign ancy, inferior vena cava stenting in this patient with inferior vena c aval thrombosis and Klippel-Trenaunay syndrome suggests that venous st enting might offer an alternative therapeutic modality in treating a b roader spectrum of occlusive venous disease.