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Complications of Inferior Vena Cava Ligation

Juan Olivero, MD; Juan C. Ayus, MD

Arch Intern Med. 1978;138(10):1548-1549.

Abstract
A 50-year-old man underwent inferior vena cava ligation because of repeated pulmonary emboli despite adequate heparin therapy. His immediate postoperative course was complicated by the development of massive edema in the lower extremities, leading to a compromised arterial blood flow with the resulting ischemic myopathy and acute myoglobinuric renal failure.

Although massive pooling of body fluids in the lower extremities with fatal consequences has been reported as an immediate complication of the sudden mechanical obstruction of the venous return, to our knowledge this is the first case of myoglobinuric acute renal failure due to rhabdomyolysis reported in association with inferior vena cava ligation.

(Arch Intern Med 138:1548-1549, 1978)

Author Affiliations
From the Nephrology Section, Department of Medicine, Baylor College of Medicine, Houston.

Footnotes
Accepted for publication May 1, 1978.

Reprint requests to Department of Medicine, Baylor College of Medicine, Houston, TX 77030 (Dr Olivero).

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