Summary
We report the case of a 15 year old girl presenting with a descending left ilio-femoral
deep vein thrombosis associated with an iliocaval vein abnormality. After a first
unsuccessful thrombectomy, the patient was referred to a specialized centre and treated
with a combined approach consisting of thrombectomy, thrombolysis, stenting, and a
temporary AV–fistula. At the 5-year follow-up visit, the young lady was free of symptoms
with no clinical signs of a postthrombotic syndrome. Duplex ultrasound and plethysmography
were normal.
The opportunity of an interventional treatment of an iliofemoral DVT in a young person
should be contemplated more often than it is currently done. The eventual presence
of a vascular anomaly or anatomical variant should be sought and corrected. About
two thirds of patients with a descending iliofemoral DVT are candidates for a curative
treatment.
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Keywords
Ilio-femoral deep vein thrombosis - thrombectomie - thrombolysis
