Ausência de veia cava inferior: relato de caso

Alves, Elton Correia; Ferro, Gabriela Bóia Rocha; França, Luciana Karla Lira; Jacó, Mabel Batista; Pitta, Guilherme Benjamin Brandão

doi:10.1590/s1677-54492010000400010

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…These anomalies may be associated with vague and non-specific symptoms or, for the most part, be totally asymptomatic, and the diagnosis is usually made incidentally in imaging tests. Agenesis of the IVC should be considered when young patients have deep vein thrombosis (DVT) of the lower limbs without risk factors 4. Lower extremity DVT occurs due to insufficient drainage of the compensatory collateral venous, and the patient may experience low back pain or abdominal pain at the time of acute DVT,5 as happened with the patient described by us, who presented low back pain as the first clinical manifestation.…”

Section: Discussionmentioning

confidence: 94%

Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient

Raymundo¹,

Cabral

Cavalieri

et al. 2019

BMJ Case Rep

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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.

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Section: Discussionmentioning

confidence: 94%

Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient

Raymundo¹,

Cabral

Cavalieri

et al. 2019

BMJ Case Rep

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“…Isso facilita a estase venosa, um dos fenômenos responsáveis pela gênese da TVP 10 . Dessa forma, alguns autores preconizam uso de terapia anticoagulante nesses pacientes, embora não haja consenso definido 11 .…”

Section: Discussionunclassified

Poliesplenia E Anomalia Do Sistema Portal Hepático Associadas À Ausência De Veia Cava Inferior Em Criança: Relato De Caso

et al. 2021

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Agenesis of inferior vena cava (IVC)is a rare cardiovascular malformation that occurs between the sixth and tenth week of embryogenesis. It may be associated with cardiac and abdominal malformations, besidescomplications such as deep vein thrombosis (DVT). The present study reports the case of a patient randomly diagnosed with total IVC agenesis associated with malformation of the portohepatic system and polysplenia. Female patient, 9 years old, being monitored for hemorrhagic dengue, withcomputed tomographyand abdominal ultrasound revealing anomaly of the development of the hepatic portal system associated with the absence of inferior vena cava with continuation inretrocrural azygos vein, in addition to multiple accessory spleens. When the anastomoses of the IVCprimitive veins are not formed properly, partial or total agenesis of this vessel may occur. Consequently, the blood is diverted to the retrocrural azygos. Identification of these malformations is important for the patients receive proper guidance about DVT prevention, in additionto monitoring them for diagnosis of other possible malformations.

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“…7 However, in the event of insufficient collateralization, the slow blood flow in the lower limbs and pelvis leads to venous stasis and to an increased propensity for thrombosis. 8 Thus, chronic venous insufficiency or deep vein thrombosis (especially in the iliac and femoral veins) may occur with a higher recurrence rate of thrombosis in these patients. Furthermore, comorbidities may be present, such as splenic abnormalities, intestinal malrotation, pulmonary dysgenesis, renal agenesis, dextrocardia, or other congenital heart diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Inferior vena cava agenesis should be suspected when young patients (up to 30 years-old) have idiopathic deep venous thrombosis, especially bilaterally in the iliac veins, and no risk factors (such as hypercoagulable states). 8 However, it is important to remember that, in the absence of other anomalies, agenesis can be asymptomatic due to collateral venous system development. 7 In case of diagnostic suspicion, imaging examinations should be performed.…”

Section: Discussionmentioning

confidence: 99%

Agenesia da veia cava inferior

Gensas¹,

Pires²,

Kruse³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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Agenesis of the inferior vena cava is a rare malformation. Its most common cause is dysgenesis during embryogenesis, but it may also be related to intrauterine or perinatal thrombosis. It is usually asymptomatic, associated or not with other congenital malformations and may be related to increased risk of chronic venous insufficiency and deep vein thrombosis, especially in young individuals. Diagnosis is often incidental, during abdominal surgery or radiological procedures. We reported five cases of agenesis of the inferior vena cava detected during electrophysiological procedures.

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Ausência de veia cava inferior: relato de caso

Cited by 7 publications

References 4 publications

Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient

Thrombolysis for deep venous thrombosis associated with inferior vena cava agenesis in a young patient

Poliesplenia E Anomalia Do Sistema Portal Hepático Associadas À Ausência De Veia Cava Inferior Em Criança: Relato De Caso

Agenesia da veia cava inferior

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