Open AccessInferior vena cava obstruction and shock
Author(s) -
Mohammed Megri,
Shaheed Elhamdani,
Waiel Abusnina,
Majdi Al-dliw,
Shweihat Yousef
Publication year - 2018
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/jets.jets_22_17
Subject(s) - medicine , inferior vena cava , shock (circulatory) , septic shock , pulmonary embolism , superior vena cava , tamponade , cardiology , cardiac tamponade , thrombosis , sepsis , surgery
Shock is one of the most challenging life-threatening conditions with high mortality and morbidity; the outcomes are highly dependent on the early detection and management of the condition. Septic shock is the most common type of shock in the Intensive Care Unit. While not as common as other subsets of shock, obstructive shock is a significant subtype due to well defined mechanical and pathological causes, including tension pneumothorax, massive pulmonary embolism, and cardiac tamponade. We are presenting a patient with obstructive shock due to inferior vena cava obstruction secondary to extensive deep venous thrombosis. Chance of survival from obstructive shock in our patient was small; however, there was complete and immediate recovery after treatment of the obstruction on recognizing the affected vessels. This case alerts the practicing intensivist and the emergency medicine physician to consider occlusion of the great vessels other than the pulmonary artery or aorta as causes of obstructive shock.