Vein to caval bypass and insertion of suprarenal cava filter for caval occlusion.

Inferior vena cava occlusion following caval interruption (clip, plication, umbrella) for recurrent pulmonary embolism is not uncommon. Patients who are severely disabled by lower extremity venous hypertension following caval occlusion should be considered for caval bypass procedure with concomitant Greenfield filter placement. This report details such a case and outlines the management, including coagulopathy workup.