scholarly journals Inferior vena cava thrombosis—rope ladder sign

2021 ◽  
Author(s):  
Sascha Meyer ◽  
Martin Poryo
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Inferior Vena Cava ◽  
Contrast Media ◽  
Congenital Heart ◽  
Inferior Vena ◽  
Vena Cava ◽  
Congenital Defects ◽  
Complex Congenital Heart Disease ◽  
Ivc Thrombosis

SummaryCongenital heart disease comprises one of the largest groups of congenital defects, affecting approximately 1% of births. Advances in pre- and postoperative critical care treatment as well as surgery and interventional procedures have improved survival rates, but treatment and long-term care of children with complex congenital heart disease remains challenging, and is associated with a number of complications.Here, we report on a 17-month-old infant with congenital univentricular heart disease who devloped post-operatively inferior vena cava (IVC) thrombosis. IVC thrombosis was confirmed by a bedside contrast media study (X-ray) demonstrating collateral paravertebral circulation along the paravertebral sinuses bilaterally into the azygos and hemiazygos vein (“rope ladder sign“), with no contrast media detected in the IVC. The infant was subsequently started on aspirin and clopidogrel.

Partial Anomalous Venous Return (PAVR)

2010 ◽  
pp. 208-211
Author(s):  
Edward C. Rosenow
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Inferior Vena Cava ◽  
Congenital Heart ◽  
Inferior Vena ◽  
Venous Return ◽  
Vena Cava ◽  
Lower Lobe

• A third of cases are associated with congenital heart disease • Only a third of cases have anomalous vein of right lower lobe that looks like a scimitar (widens as it gets closer to inferior vena cava)

scholarly journals Successful Percutaneous Recanalization of a Chronically Occluded Inferior Vena Cava in a Young Child

2018 ◽  
Vol 11 (4) ◽  
pp. NP186-NP189 ◽  
Author(s):  
Emily N. Lawson ◽  
Michael D. Seckeler
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Young Child ◽  
Inferior Vena Cava ◽  
Congenital Heart ◽  
Inferior Vena ◽  
Vena Cava ◽  
Long Duration ◽  
Percutaneous Recanalization

Young children with congenital heart disease are undergoing an increasing number of catheter-based interventions. These procedures can lead to obstruction of large central veins, making future interventions more challenging or even impossible. We present a young child with a chronically occluded inferior vena cava (IVC) secondary to prior catheterization-based interventions for congenital heart disease. The IVC was recanalized with serial angioplasty and stent placement with continued patency for over two years. Despite the long duration of obstruction, the IVC was successfully recanalized, eliminating the potential consequences of long-term IVC obstruction and making it easier for future catheter-based interventions, if needed.

scholarly journals Pulmonary Arterial Stenting Complication: A Case Report about the Retrieval of a Stent Lost in a Child with Bilateral Glenn Shunt

2018 ◽  
pp. 1-4
Author(s):  
M Giordano ◽  
G Gaio ◽  
MC Bigazzi ◽  
MG Russo
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulmonary Artery ◽  
Congenital Heart ◽  
Superior Vena ◽  
Vena Cava ◽  
Lower Lobe ◽  
Complex Congenital Heart Disease ◽  
Univentricular Heart ◽  
Complex Anatomy

Percutaneous stenting of the pulmonary artery is a diffuse procedure, above all in patients with congenital heart disease. The effectiveness of the procedure is associated with potential and feared complications. This case describes the embolization of a premounted stent into the left lower lobe pulmonary artery in a 3-years old patient with univentricular heart and left-side superior vena cava undergone to Norwood procedure modified according to Sano (stage I) and then bilateral cavo-pulmonary anastomosis according to Glenn (stage II). The retrieval procedures were complicated by the severe hypoplasia of the left pulmonary artery and by the complex anatomy of the patient. This case shows how to pull-back an embolized stent in a child with a complex congenital heart disease despite the limitations related to the low weight and the complex vascular anatomy.

Sign in / Sign up

Export Citation Format

Share Document