Deep vein thrombosis (DVT)

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Complications

By Mayo Clinic staff

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Illustration showing pulmonary embolism
Pulmonary embolism

The primary complication to be concerned with in deep vein thrombosis is a pulmonary embolism.

Pulmonary embolism
A pulmonary embolism occurs when an artery in your lung becomes blocked by a blood clot (thrombus) that travels to your lungs from another part of your body, usually your leg.

A pulmonary embolism can be fatal. So, it's important to be on the lookout for signs and symptoms of a pulmonary embolism and seek medical attention if they occur. Signs and symptoms of a pulmonary embolism include:

  • Unexplained shortness of breath.
  • Chest pain or discomfort. This pain or discomfort usually gets worse when you take a deep breath or when you cough.
  • Feeling lightheaded or dizzy, or fainting.
  • Coughing up blood.
  • A sense of anxiety or nervousness.

Post-phlebitic syndrome
A common complication that can occur after deep vein thrombosis is a condition known as post-phlebitic syndrome, also called post-thrombotic syndrome. This syndrome is used to describe a collection of signs and symptoms, including:

  • Swelling of your legs (edema)
  • Leg pain
  • Skin discoloration

This syndrome is caused by damage to your veins from the blood clot. This damage reduces blood flow in the affected areas. The symptoms of post-phlebitic syndrome may not occur until a few years after the DVT. Treatment options include medications, such as aspirin or diuretics, as well as the use of compression stockings.

References
  1. Deep vein thrombosis. National Heart Lung and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/Dvt/DVT_All.html. Accessed June 17, 2009.
  2. Are you at risk for deep vein thrombosis? Centers for Disease Control and Prevention. http://www.cdc.gov/Features/Thrombosis. Accessed June 17, 2009.
  3. Kyrle P, et al. Deep vein thrombosis. The Lancet. 2005;365:1163.
  4. Heit JA. The epidemiology of venous thromboembolism in the community. Atherosclerosis, Thrombosis and Vascular Biology. 2008;28:370.
  5. Landaw SA, et al. Approach to the diagnosis and therapy of deep vein thrombosis. http://www.uptodate.com/home/index.html. Accessed May 12, 2009.
  6. Grant BJB. Diagnosis of suspected deep vein thrombosis of the lower extremity. http://www.uptodate.com/home/index.html. Accessed May 12, 2009.
  7. Prevention of deep vein thrombosis. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=9266&nbr=4960. Accessed June 17, 2009.

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Aug. 8, 2009

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