Resumen

SOLIS-OLIVARES, Carlos Alberto. Appellant thrombophilia in patients with primary pulmonary thromboembolism, inferior vena cava filter and anticoagulation: A case report. Rev. Mex. Cardiol [online]. 2014, vol.25, n.1, pp.26-31. ISSN 0188-2198.

Protein C and S deficiencies are considered part of the group of primary thrombophilia and merit long-term anticoagulant therapy, with the risk inherent thromboembolic events for patients. We report the case of a female patient 51 years old who carry the thrombophilia, obese, with lower limb venous insufficiency, type 2 diabetes and hypertension, which 10 years ago presented a severe episode of pulmonary thromboembolism, standing from then a permanent filter in the inferior cava vein and continuing indefinitely with anticoagulant therapy. She arrived at the hospital on this occasion by presenting a severe substernal pain oppressive type and sweating more severe dysnea in the clinical setting of a hypertensive crisis. The INR on admission was reported in 2.55. His electrocardiogram and chest radiograph were normal. Cardiac enzymes, color Doppler ultrasound of the lower limbs and color Doppler echocardiography reported no significant abnormalities. Finally, a CT angiography showed a thrombus in one of the segmental branch of the upper right pulmonary artery, discharged asymptomatic form the hospital, after five days. Although the guidelines have not established a recommendation for use indefinitely permanent filter in the inferior cava vein associated with anticoagulant therapy, in patients with clinical risk profiles so unique, it is possible synergistic benefit primarily to prevent recurrent episodes of thromboembolism massive pulmonary.

Palabras llave : Venous thromboembolism; deep vein thrombosis; pulmonary thromboembolism; acute coronary syndrome.