<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572022000300037</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombosis de la vena cava y embarazo]]></article-title>
<article-title xml:lang="en"><![CDATA[Vena cava thrombosis and pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Cid]]></surname>
<given-names><![CDATA[Iraisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura Fernández]]></surname>
<given-names><![CDATA[Anadys Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Luis Diaz Soto&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>51</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572022000300037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572022000300037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572022000300037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La trombosis de la vena cava inferior tiene poca frecuencia durante el embarazo, aunque es de elevada morbilidad y mortalidad.  Objetivo:  Describir las manifestaciones clínicas y el diagnóstico de una gestante con trombosis de la vena cava inferior.  Caso clínico:  Se presenta una paciente de 18 años, con sobrepeso y antecedentes de anticoncepción hormonal, con 8 semanas de gestación, que tuvo aumento de volumen y dolor en miembro inferior derecho. Es diagnosticada de trombosis de la vena cava inferior por ecografía dópler y tratada con heparina. La trombosis se extendió al miembro inferior izquierdo, con alto riesgo para la madre y el feto. Se continuó terapéutica con heparina de bajo peso molecular y elastocompresión. Los estudios hematológicos resultaron positivos a la mutación V3XL factor XIII en estado homocigótico. La paciente evolucionó sin complicaciones; egresó con tratamiento de heparina de bajo peso molecular.  Conclusión:  La trombosis de la vena cava inferior debe sospecharse, aunque se considera un reto para el equipo médico. La elección del tratamiento más adecuado depende de cada paciente en particular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Inferior vena cava thrombosis is infrequent during pregnancy, although it has high morbidity and mortality.  Objective:  To describe the clinical manifestations and diagnosis of a pregnant with inferior vena cava thrombosis.  Clinical case:  Is presented an 18-year-old overweight patient with a history of hormonal contraception, with 8 weeks of gestation, who presented increased volume and pain in the lower right limb. She was diagnosed with thrombosis of the inferior vena cava by Doppler ultrasound and treated with heparin. The thrombosis spread to the lower left limb, with high risk for the mother and the fetus. Low molecular weight heparin therapy and elastic compression were continued. Hematological studies were positive for the V3XL factor XIII mutation in a homozygous state. The patient evolved without complications and was discharged with low molecular weight heparin treatment.  Conclusion:  Thrombosis of the inferior vena cava should be suspected, although it is considered a challenge for the medical team. The choice of the most appropriate treatment depends on each individual patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trombosis de la vena cava]]></kwd>
<kwd lng="es"><![CDATA[vena cava inferior]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[vena cava thrombosis]]></kwd>
<kwd lng="en"><![CDATA[inferior vena cava]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Escobar Vidarte]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Loaiza Osorio]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Nieto Calvache]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trombosis de vena cava inferior en embarazo a término Reporte de caso y revisión de la literatura]]></article-title>
<source><![CDATA[Rev Col Obstet Ginecol]]></source>
<year>2018</year>
<volume>69</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>197-207</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nápoles Méndez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevos dilemas para la tromboprofilaxis en el embarazo y puerperio]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2014</year>
<volume>18</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreiro Hernández]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez Hernández]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Nápoles Méndez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[García Gómez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Couto Núñez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trombosis venosa profunda bilateral en una puérpera]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2015</year>
<volume>19</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nápoles Méndez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Couto Núñez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Experiencia de 11 años en enfermedad tromboembólica venosa en el periodo grávido puerperal]]></article-title>
<source><![CDATA[Rev Cub Obstet Ginecol]]></source>
<year>2011</year>
<volume>37</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>4-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pottier]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Hardouin]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
<name>
<surname><![CDATA[Lejeune]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Jolliet]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gillet]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Planchon]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Immobilization and the risk of venous thromboembolism. A meta-analysis on epidemiological studies]]></article-title>
<source><![CDATA[Thrombosis research]]></source>
<year>2009</year>
<volume>124</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>468-76</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Inferior Vena Caval Thrombosis]]></source>
<year>2022</year>
<publisher-name><![CDATA[Medscape, Drugs and Diseases, General Surgery]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marik]]></surname>
<given-names><![CDATA[PE]]></given-names>
</name>
<name>
<surname><![CDATA[Plante]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Venous thromboembolic disease and pregnancy]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2008</year>
<volume>359</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>2025-33</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barco]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Nijkeuter]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Middeldorp]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pregnancy and venous thromboembolism]]></article-title>
<source><![CDATA[Semin Thromb Hemost]]></source>
<year>2013</year>
<volume>39</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>549-58</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hussain]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Vakde]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Advances in the Diagnosis of Venous Thromboembolism A Literature Review]]></article-title>
<source><![CDATA[Diagnostics]]></source>
<year>2020</year>
<volume>10</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kreidy]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Salameh]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Waked]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lower extremity venous thrombosis in patients younger than 50 years of age]]></article-title>
<source><![CDATA[Vasc Health Risk Manag]]></source>
<year>2012</year>
<volume>8</volume>
<page-range>161-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pajor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thromboembolism and antithrombotic management in pregnancy]]></article-title>
<source><![CDATA[Orv Hetil]]></source>
<year>2011</year>
<volume>152</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>815-21</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nicolaides]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fareed]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kakkar]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Comerota]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Goldhaber]]></surname>
<given-names><![CDATA[SZ]]></given-names>
</name>
<name>
<surname><![CDATA[Hull]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiovascular Disease Educational and Research Trust; European Venous Forum; North American Thrombosis Forum; International Union of Angiology and Union Internationale du Phlebologie Thrombophilia]]></article-title>
<source><![CDATA[Clin Appl Thromb Hemost]]></source>
<year>2013</year>
<volume>19</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>177-87</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Turner]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
<name>
<surname><![CDATA[Saeed]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Novak]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of Inferior Vena Cava Filter Placement for Venous Thromboembolic Disease and a Contraindication to Anticoagulation With 30-Day Mortality]]></article-title>
<source><![CDATA[JAMA Network Open]]></source>
<year>2018</year>
<volume>1</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
