Aneurysms of the inferior vena cava

Sheth, Rahul; Hanchate, Vijay; Rathod, Krantikumar; Ahmed, Iftikhar; Deshmukh, Hemant; Chaubal, Nitin

doi:10.1046/j.1440-1673.2003.01116.x

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…We are aware of two reported cases of IVC aneurysm associated with renal insufficiency. In one case, the outcome was not reported, 5 and in the second one, acute renal failure was managed successfully by hemofiltration. 4 Therefore, a reported third case should prompt us to include renal failure as one of the possible features of infrahepatic IVC aneurysm.…”

Section: Discussionmentioning

confidence: 94%

“…The great majority are found incidentally, whether in children 4 or in adults. 5 In 1993, Gradman and Steinberg 3 suggested a useful anatomic classification for IVC aneurysms: type I, aneurysms of the suprahepatic IVC without venous obstruction; type II, aneurysm associated with interruption of the IVC above or below the hepatic veins; type III, aneurysms confined to the infrarenal IVC without associated venous anomaly; and type IV, which was described as "miscellaneous," a left-sided IVC and an aneurysm at the junction of the left internal and external iliac veins. According to this classification system, our case, therefore, would fall into the type II category, which is associated with interruption of the IVC above or below the hepatic veins.…”

Section: Discussionmentioning

confidence: 99%

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Combined Aneurysm and Infrahepatic Stenosis of the Inferior Vena Cava

Araújo¹,

Junqueira

2012

Journal of Diagnostic Medical Sonography

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A man in his late 60s was admitted to the hospital with a history of dyspnea, pain, and bilateral lower extremity swelling. The medical history was significant for chronic renal failure due to gout, treated with a long course of allopurinol. He had no history of a deep venous thrombosis (DVT). A sonogram without Doppler study, performed at another hospital, reported a large right renal cyst. On physical examination, the patient was 173 cm in height and weighed 89.9 kg, with blood pressure of 100/60 mm Hg. He was found to be anemic with hemoglobin of 7.8 g/dL and with raised blood urea nitrogen (50.0 mg/dL) and serum creatinine (2.51 mg/dL). Past medical records were not available. By transthoracic echocardiography, the estimated left ventricular ejection fraction was 29% with severe diastolic dysfunction. Ultrasonography, at our hospital, revealed echogenic kidneys with poor corticomedullary differentiation and small cortical cysts on both sides. Doppler study failed to demonstrate blood flow in the right kidney ( Figure 1A), whereas in the left kidney, the blood tree and spectral tracing were depicted ( Figure 1B). Incidentally, an anechoic outpouching was detected on the right wall of the inferior vena cava (IVC) at the level of the right renal vein (Figure 2A), showing a characteristic "swirling motion" within it on color Doppler interrogation ( Figure 2B). The IVC appeared to terminate at the level of the aneurysm. Although a tiny echogenic line had been seen AbstractAneurysms of the major veins are rare, and those involving the inferior vena cava (IVC) are extremely rare. The etiology of IVC aneurysms remains unknown, and they can have variable presentation. Although many aneurysms are found incidentally, others are diagnosed after complications develop. Thrombosis is a frequent presentation, and serious sequelae, such as lethal pulmonary embolism and Budd-Chiari syndrome, may result. Therapeutic alternatives range from watchful waiting to surgical management. Development of complications such as rupture has been described and may require surgery. In this article, we report the discovery of an IVC aneurysm in a patient who had chronic renal failure associated with renal hypoperfusion and severe cardiac insufficiency.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Combined Aneurysm and Infrahepatic Stenosis of the Inferior Vena Cava

Araújo¹,

Junqueira

2012

Journal of Diagnostic Medical Sonography

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“…The most frequent complication, in one-third of the patients, was the thrombosis of the aneurysm and IVC, associated with lower extremity swelling and other signs of venous hypertension. 5–7,11,12,18,21,24 The less common manifestations included abdominal 23–26 or lower back pain, with 7 or without aneurysm rupture. 16 More dramatic complications, including pulmonary embolism, 7,18 paradoxal cerebral embolism 18 and massive penile bleeding, 15 occurred in few patients.…”

Section: Discussionmentioning

confidence: 99%

“…Because of the low incidence of the IVC aneurysms, their natural history is not known and there are no recommendations for their treatment. 23 The management can be conservative 1–4,12,13,17,20,24–26 or surgical. 5,6,9,14–16,18,21–23,27 Aneurysms type II and III usually require surgical repair due to high incidence of complications.…”

Section: Discussionmentioning

confidence: 99%

Aneurysm of the inferior vena cava: case report and review of the literature

et al. 2008

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Aneurysms of the inferior vena cava (IVC) are extremely rare. To the best of our knowledge, only 29 cases of IVC aneurysms are published in literature. We present a new case of surgically treated symptomatic saccular aneurysm of the infrarenal IVC and review previously published cases. Following resection of the aneurysm and the thrombosed infrarenal IVC, the patient fully recovered. Thrombosed IVC aneurysm may mimic a retroperitoneal tumour. In some cases, CT and MRI findings may be equivocal. Surgical treatment is indicated in all symptomatic and low-risk asymptomatic cases.

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Aneurysm of the inferior vena cava: case report

et al. 2006

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Venous aneurysms are uncommon. Despite their infrequency, venous aneurysms can present with significant clinical complications such as thrombosis, pulmonary embolism, and death. In this report, we present the case of a thrombosed inferior vena cava aneurysm discovered in a 16-year-old male who had deep vein thrombosis of the right lower extremity. Thrombosis of the inferior vena cava is uncommon in the pediatric population. Therefore, congenital abnormalities such as an inferior vena cava aneurysm should be considered when evaluating pediatric patients who present with deep vein thrombosis.

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Aneurysms of the inferior vena cava

Abstract: Two cases of saccular aneurysms of the infrarenal inferior vena cava (IVC) associated with retrohepatic IVC obstruction are described. Ultrasonographic, computerized tomographic and inferior venacavography findings in these cases are presented.

Cited by 8 publications

References 15 publications

Combined Aneurysm and Infrahepatic Stenosis of the Inferior Vena Cava

Combined Aneurysm and Infrahepatic Stenosis of the Inferior Vena Cava

Aneurysm of the inferior vena cava: case report and review of the literature

Aneurysm of the inferior vena cava: case report

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