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Suggest Treatment Blood Clot Near The Ribs
Question: My son is in the hospital with a blood clot near his ribs. He will be getting thrombolysis today to dissolve the clot and a venogram. The doctors are saying they may have to remove a rib. He is 29 years old and very healthy. How dangerous is this, and is it a long term worry?
Brief Answer:
THIS IS NOT A THING FOR LONG-TERM WORRY!
Detailed Answer:
Dear Sir,
I personally feel sorry to learn your son's condition but in the same time I must tell you that thrombolysis by medications alone is generally sufficient in majority of such cases (>90%)!
Venogram will detect and evaluate the effect of the thrombolytic agents and if it is found that still the vein is thrombosed (in rest 10 % cases where the thrombus is 'organised', old enough more than 3 days or 'hard') then a surgical intervention could be needed to remove part of a rib to access the blocked vein !
This part could be repaired or just left as such as felt by the surgeon; might also bind the two ends with steel-wires etc but the procedure is safe and reflects insignificantly in future!
Hope you got the answer; please don't hesitate if any more doubt is there!
regards,
THIS IS NOT A THING FOR LONG-TERM WORRY!
Detailed Answer:
Dear Sir,
I personally feel sorry to learn your son's condition but in the same time I must tell you that thrombolysis by medications alone is generally sufficient in majority of such cases (>90%)!
Venogram will detect and evaluate the effect of the thrombolytic agents and if it is found that still the vein is thrombosed (in rest 10 % cases where the thrombus is 'organised', old enough more than 3 days or 'hard') then a surgical intervention could be needed to remove part of a rib to access the blocked vein !
This part could be repaired or just left as such as felt by the surgeon; might also bind the two ends with steel-wires etc but the procedure is safe and reflects insignificantly in future!
Hope you got the answer; please don't hesitate if any more doubt is there!
regards,
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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