{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T23:07:21Z","timestamp":1778972841751,"version":"3.51.4"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TH Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Dual inferior vena cava (DIVC) is a rare congenital anomaly complicating venous thromboembolism (VTE) management. This report describes a 59-year-old male with right lower extremity deep vein thrombosis and extensive pulmonary embolism. A DIVC was incidentally discovered during endovascular evaluation prompted by an atypical catheter trajectory, which precluded standard inferior vena cava filter placement. The patient was successfully managed with targeted catheter-directed thrombolysis for a significant embolic burden in the pulmonary artery. This case highlights the diagnostic and therapeutic challenges of DIVC, underscoring the need for a high index of suspicion for venous anomalies to guide individualized treatment in patients with extensive thromboembolic disease.<\/jats:p>","DOI":"10.1055\/a-2826-4664","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:23:13Z","timestamp":1777526593000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Pulmonary Embolism in a Patient with Dual Inferior Vena Cava"],"prefix":"10.1055","volume":"10","author":[{"given":"Huaqiang","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanghui","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianhua","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zishan","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiehua","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1002\/ca.22445","article-title":"The 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