Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis
Agenesis of the inferior vena cava (IVC) has been described as a risk factor for proximal deep vein thrombosis (DVT). We have described the cases of two patients with iliofemoral DVT who had developed post-thrombotic syndrome (PTS). Both cases were misdiagnosed as IVC agenesis on routine imaging; ho...
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2021
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oai:doaj.org-article:4a639258a46f4978924f81648256757e2021-11-04T04:36:43ZChronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis2468-428710.1016/j.jvscit.2021.10.003https://doaj.org/article/4a639258a46f4978924f81648256757e2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2468428721001775https://doaj.org/toc/2468-4287Agenesis of the inferior vena cava (IVC) has been described as a risk factor for proximal deep vein thrombosis (DVT). We have described the cases of two patients with iliofemoral DVT who had developed post-thrombotic syndrome (PTS). Both cases were misdiagnosed as IVC agenesis on routine imaging; however, an IVC lumen was successfully identified and recanalized during venography with significant improvement in the patients’ PTS symptoms. Patients with iliocaval segment DVT with a misdiagnosis of IVC agenesis might have chronic occlusion imitating agenesis. It is worthwhile to attempt percutaneous recanalization of the IVC lumen in these patients and restoring normal venous flow to prevent the development of PTS.Tishanthan Pathmarajah, MBBSPatrik J. Tosenovsky, MD, PhD, FRACS, FEBVSElsevierarticleDeep vein thrombosisIVC agenesisPost-thrombotic syndromeSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 746-749 (2021) |
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Deep vein thrombosis IVC agenesis Post-thrombotic syndrome Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Deep vein thrombosis IVC agenesis Post-thrombotic syndrome Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Tishanthan Pathmarajah, MBBS Patrik J. Tosenovsky, MD, PhD, FRACS, FEBVS Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
description |
Agenesis of the inferior vena cava (IVC) has been described as a risk factor for proximal deep vein thrombosis (DVT). We have described the cases of two patients with iliofemoral DVT who had developed post-thrombotic syndrome (PTS). Both cases were misdiagnosed as IVC agenesis on routine imaging; however, an IVC lumen was successfully identified and recanalized during venography with significant improvement in the patients’ PTS symptoms. Patients with iliocaval segment DVT with a misdiagnosis of IVC agenesis might have chronic occlusion imitating agenesis. It is worthwhile to attempt percutaneous recanalization of the IVC lumen in these patients and restoring normal venous flow to prevent the development of PTS. |
format |
article |
author |
Tishanthan Pathmarajah, MBBS Patrik J. Tosenovsky, MD, PhD, FRACS, FEBVS |
author_facet |
Tishanthan Pathmarajah, MBBS Patrik J. Tosenovsky, MD, PhD, FRACS, FEBVS |
author_sort |
Tishanthan Pathmarajah, MBBS |
title |
Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
title_short |
Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
title_full |
Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
title_fullStr |
Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
title_full_unstemmed |
Chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
title_sort |
chronic occlusion mimicking agenesis of the inferior vena cava in patients with iliofemoral deep vein thrombosis |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/4a639258a46f4978924f81648256757e |
work_keys_str_mv |
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