Complications
By Mayo Clinic staffThe abnormal blood clotting of factor V Leiden can be associated with a variety of serious and potentially serious complications, including:
- Pregnancy complications. Although most women with factor V Leiden have normal pregnancies, the mutation has been linked with an increased risk of miscarriage and possibly other complications during pregnancy, including pregnancy-induced high blood pressure (preeclampsia), slow fetal growth and early separation of the placenta from the uterine wall (placental abruption). If you're a woman with factor V Leiden and you get pregnant, be sure your doctor monitors you carefully throughout your pregnancy.
- Deep vein thrombosis (DVT). People with factor V Leiden have an increased risk of developing DVT compared with someone without the mutation, though the overall risk of developing DVT is still low.
- Pulmonary embolism. DVT puts you at risk of a clot breaking off and traveling to your lungs or, rarely, your brain. A pulmonary embolism can be fatal, so it's important to watch for signs and symptoms of a pulmonary embolism, such as shortness of breath or chest pain, and to seek prompt medical attention.
References
- Learning about factor v Leiden thrombophilia. National Human Genome Research Institute. http://www.genome.gov/pfv.cfm?pageID=15015167. Accessed May 21, 2010.
- Ornstein DL, et al. Factor V Leiden. Circulation. 2003;107:e94.
- Deep vein thrombosis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec07/ch081/ch081b.html. Accessed May 21, 2010.
- Pulmonary embolism. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec05/ch050/ch050a.html. Accessed May 21, 2010.
- Laubach J, et al. Hematological changes of pregnancy. In: Hoffman R, et al. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2008. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-443-06715-0..X5001-8--TOP&isbn=978-0-443-06715-0&uniq=203749156. Accessed May 21, 2010.
- Konkle BA, et al. Hemostasis, thrombosis, fibrinolysis, and cardiovascular disease. In: Libby P, et al. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-1-4160-4106-1..X5001-8--TOP&isbn=978-1-4160-4106-1&uniq=203749156. Accessed May 21, 2010.

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