Peripheral Arterial Disease (PAD) Expert Forum
Small Vein Thrombosis
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Questions in the Peripheral Arterial Disease forum are answered by Dr. Lee Kirksey, associate professor at The University of Pennsylvania School of Medicine. Topics covered include abdominal aortic aneurysm , amputation, arteriovenous fistula, atherectomy, carotid artery surgery , cholesterol , claudication, deep vein thrombosis (DVT) , endovascular aortic stent graft (EVAR), stent placement , stroke prevention, varicose veins , and venous insufficiency .

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Small Vein Thrombosis

Hello,

If a peice of clot was to break off from a clot in a small vein, and this now 'free' clot was the size of a capillary artery.  Would the blood system be able to dissolve it before it managed to flow through the lungs and then end up in a coronary capillary?

Thank you.
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469720_tn?1388149949
Hello
It probably depends on the age of the clot with fresh clot being more dissolvable than older-more organized-clot. More important however is the point that a clot breaking off from a vein would enter the pulmonary circulation prior to entering the coronary circulation by traveling through the heart. The pulmonary circulation serves as a filter for the heart and is quite effective and refractory to thrombus. Best LK
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