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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Autores principales: Tishanthan Pathmarajah, MBBS, Patrik J. Tosenovsky, MD, PhD, FRACS, FEBVS
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Lenguaje:EN
Publicado: Elsevier 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Deep vein thrombosis
IVC agenesis
Post-thrombotic syndrome
Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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
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