Hello

I have a long term occluded IVC (inferior vena cava) which is supported by collateral vessels. Coagulopathy and anticoagulation issues aside, I have the following queries and would really appreciate a second opinion. Thank you very much.

For background, I am 32 years old, male, DVT 15 years ago which is when the IVC occluded. Only found out about occluded IVC recently though, secondary to further thrombosis (gonad vein and a collateral).

1. My blood pressure has always been borderline high - could this be due to the occluded IVC?

2. I can easily get my heart rate over 220 during exercise. I don't get pain or anything (other than awareness of fast beating) but again, wondered if this could be attributable to blocked IVC.

3. In terms of life expectancy, is it reasonable to expect that provided i keep the coagulation in check, the occluded IVC should have no impact on my mortality?

4. Is this likely to put extra strain on my heart or other organs in anyway, and is there something I can be doing to mitigate risk?

Thank you very much. I have a haematologist on my case, but getting specific answers to these questions has been difficult.

Thanks
Mark