caa a22 4500 445373202 CHVBK 20180317142954.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00540-011-1233-1 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1233-1 Internal jugular vein thrombosis associated with venous hypoplasia and protein S deficiency revealed by ultrasonography [Elektronische Daten] [Byung Lim, Young Kim, Heezoo Kim, Sang Lim, Mi Lee] A 41-year-old woman, who had no thrombotic risk factors and past history except congenital scoliosis, underwent central venous catheterization (CVC) before correction of the scoliosis. When internal jugular vein (IJV) catheterization using the anatomical landmark technique failed, CVC under ultrasound guidance was tried. As a consequence, thrombosis and hypoplasia of the right IJV were incidentally detected by ultrasonography. Central venous catheters were then successfully placed in other veins under ultrasound guidance. Also, after examinations to rule out the possibility of pulmonary embolism and to clarify the causes of the IJV thrombosis, the patient was found to have protein S deficiency. CVC under ultrasound guidance should be recommended to prevent the failure of cannulation and complications such as thromboembolism in patients who could possibly have anomalies of vessels as a result of anatomical deformities caused by severe scoliosis, even if patients do not have thrombotic risk factors such as a history of central catheter insertion or intravenous drug abuse, cancer, advanced age, cerebral infarction, and left ventricular dysfunction. Also, if venous thrombosis is found in patients without predisposing risk factors, one should ascertain the cause of the hypercoagulable state, for example protein S deficiency, and perform appropriate treatment and prevention of venous thromboembolism. Japanese Society of Anesthesiologists, 2011 Protein S deficiency nationallicence Ultrasonography nationallicence Venous thrombosis nationallicence Venous hypoplasia nationallicence Lim Byung Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut Kim Young Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut Kim Heezoo Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut Lim Sang Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut Lee Mi Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut Journal of Anesthesia Springer Japan 25/6(2011-12-01), 930-934 0913-8668 25:6<930 2011 25 540 https://doi.org/10.1007/s00540-011-1233-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1233-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lim Byung Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut NATIONALLICENCE 700 1- Kim Young Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut NATIONALLICENCE 700 1- Kim Heezoo Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut NATIONALLICENCE 700 1- Lim Sang Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut NATIONALLICENCE 700 1- Lee Mi Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, 97, Gurodong-Gil, Guro-Gu, 152-703, Seoul, Korea aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/6(2011-12-01), 930-934 0913-8668 25:6<930 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer