Long term vein clots

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Discussion

bmwmike

Original Poster:

7,276 posts

113 months

Thursday 12th August 2021
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Hello

Lots of great contributors on this forum so worth a shot..

Is a long term blocked inferior vena cava, occluded directly above liver and supported by collateral veins, likely to cause issues in the long term? Have asked GP in the past but it seems a case of if its not broke, don't worry about it.

A haematologist many moons ago said there is no chance of reopening it, its to all intent and purpose "gone".

There seems to be limited info on the web, and mostly its an acute situation requiring intervention which is not the case here as this is most definitely long term, ~25 years, and with no side effects. Health good other than slightly elevated BP (149/91 avg - GP not concerned) and occasional varicose eczema, and cardio referral for occasional low HR (lowest 35, with RHR ~50).

Its something that niggles as time progresses, and NOAC's aside, am wondering if its a ticking time bomb or a perfectly acceptable situation clinically as the plumbing has all adapted. I exercise a fair bit, to keep everything moving.

Thanks





Edited by bmwmike on Thursday 12th August 12:25

The_Doc

5,043 posts

225 months

Friday 13th August 2021
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You're going to need a liver surgeon or an experienced gastroenterologist for this question. A hospital doctor.
There are various conditions that lead to damage to this area, and the two teams above deal with them regularly, although it's not common.
Its a long time since I held the Inferior Vena Cava in my hand........

If your GP can't tell you the prognosis, then it is reasonable for her/him to refer you on to a specialist, but the answer might still be "do nothing, worry later"


bmwmike

Original Poster:

7,276 posts

113 months

Tuesday 17th August 2021
quotequote all
The_Doc said:
You're going to need a liver surgeon or an experienced gastroenterologist for this question. A hospital doctor.
There are various conditions that lead to damage to this area, and the two teams above deal with them regularly, although it's not common.
Its a long time since I held the Inferior Vena Cava in my hand........

If your GP can't tell you the prognosis, then it is reasonable for her/him to refer you on to a specialist, but the answer might still be "do nothing, worry later"
Thank you, that helps as I now know what to ask for, if I decide to.