scholarly journals Incidental Finding of Inferior Vena Cava Atresia Presenting with Deep Venous Thrombosis following Physical Exertion

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Shalini Koppisetty ◽  
Alton G. Smith ◽  
Ravneet K. Dhillon

Inferior vena cava atresia (IVCA) is a rare but well described vascular anomaly. It is a rare risk factor for deep venous thrombosis (DVT), found in approximately 5% of cases of unprovoked lower extremity (LE) DVT in patients <30 years of age. Affected population is in the early thirties, predominantly male, often with a history of major physical exertion and presents with extensive or bilateral DVTs. Patients with IVC anomalies usually develop compensatory circulation through the collateral veins with enlarged azygous/hemizygous veins. Despite the compensatory circulation, the venous drainage of the lower limbs is often insufficient leading to venous stasis and thrombosis. We describe a case of extensive and bilateral deep venous thrombosis following physical exertion in a thirty-six-year-old male patient with incidental finding of IVCA on imaging.

2017 ◽  
Vol 30 (4) ◽  
pp. 333 ◽  
Author(s):  
Felipe Langer ◽  
Daiane Dos Santos ◽  
Gustavo Suertegaray ◽  
Carlos Jesus Pereira Haygert

Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral venous drainage from the lower limbs. We hereby describe a case of a previously healthy young male patient presenting with bilateral lower limb deep venous thrombosis as the initial clinical manifestation of congenital inferior vena cava agenesis. We conclude that in young patients presenting with deep venous thrombosis, especially when thrombosis occurs spontaneously, bilaterally, or recurrently, inferior vena cava anomalies should be thoroughly investigated and ruled out as appropriate.


2019 ◽  
Vol 12 (5) ◽  
pp. e229840
Author(s):  
Selma Regina de Oliveira Raymundo ◽  
Vanessa Souza Cabral ◽  
Raissa Fortuna Cavalieri ◽  
Fernando Reis Neto

Malformations of inferior vena cava (IVC) as agenesis are a rare congenital anomaly and cause of deep venous thrombosis (DVT) of lower limbs and should be investigated in young patients of unknown aetiology. Treatment with mechanical thrombectomy and thrombolysis can be considered in certain cases of DVT, promoting rapid clot removal, and has also been shown to be an effective treatment in acute DVT. We present a case of acute lower limb DVT associated with IVC agenesis in which Alteplase thrombolysis was used and thrombus aspiration with catheter bilaterally, with subsequent angioplasty of the common and external iliac, obtaining satisfactory results.


VASA ◽  
2011 ◽  
Vol 40 (2) ◽  
pp. 157-162 ◽  
Author(s):  
Piecuch ◽  
Wiewiora ◽  
Nowowiejska-Wiewiora ◽  
Szkodzinski ◽  
Polonski

The placement of an inferior vena cava (IVC) filter is a therapeutic method for selected patients with deep venous thrombosis and pulmonary embolism. However, insertion and placement of the filter may be associated with certain complications. For instance, retroperitoneal hematoma resulting from perforation of the wall by the filter is such a very rare but serious complication. We report the case of a 64-year-old woman with perforation of the IVC wall and consecutive hematoma caused by the filter who was treated surgically.


2004 ◽  
Vol 45 (6) ◽  
pp. 1063-1069 ◽  
Author(s):  
Akiko Mano ◽  
Tetsuya Tatsumi ◽  
Hiromi Sakai ◽  
Yuko Imoto ◽  
Tetsuya Nomura ◽  
...  

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Thomas Osborne ◽  
Frances Sheehan

Abstract Deep venous thrombosis (DVT) is a commonly encountered diagnosis in clinical practice with a variety of well-established risk factors. Congenital absence of the inferior vena cava (IVC) is an extremely rare but established risk factor for DVT. Patients who develop DVTs are at high risk of long-term complications, including DVT recurrence and post-thrombotic syndrome. Here we report a rare case of a 27-year-old female who presented with an extensive DVT of the right lower extremity secondary to complete absence of the infrarenal portion of the IVC, confirmed on computed tomography. There is little consensus regarding the appropriate management of this patient population, and a brief review of the current evidence follows.


2004 ◽  
Vol 18 (1) ◽  
pp. 124-129 ◽  
Author(s):  
Sang Seob Yun ◽  
Ji Il Kim ◽  
Kee Hwan Kim ◽  
Gi Young Sung ◽  
Do Sang Lee ◽  
...  

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