2009
DOI: 10.1007/s00595-008-3830-7
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Deep venous thrombosis caused by congenital absence of the inferior vena cava: Report of a case

Abstract: Although anomalies of the inferior vena cava (IVC) are seen frequently in a clinical setting, congenital absence of the IVC (AIVC) is rare. However, anomalies of the IVC should be considered in young patients suffering from recurrent and idiopathic DVT. We report a case of DVT possibly caused by AIVC in a 27-year-old man, and discuss the clinical features, diagnosis, and treatment of this unusual entity.

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Cited by 14 publications
(6 citation statements)
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“…Ten patients with DVT, eight men and two women, whose mean age was 25 ± 4.5 [range: [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] years, were diagnosed as having IVCA ( Table 1). Five of them reported having a first-degree relative with a history of venous thrombosis.…”
Section: Resultsmentioning
confidence: 99%
“…Ten patients with DVT, eight men and two women, whose mean age was 25 ± 4.5 [range: [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] years, were diagnosed as having IVCA ( Table 1). Five of them reported having a first-degree relative with a history of venous thrombosis.…”
Section: Resultsmentioning
confidence: 99%
“…In the lower venous system, the most common abnormalities are interrupted or duplex IVC, presumably secondary to disrupted embryonic development of the IVC itself. [502][503][504][505][506][507][508][509] However, in the upper venous system, thoracic outlet syndrome, eponymously named Paget-Schroetter syndrome, are believed to be due to chronic trauma to the subclavian vein secondary to reduced anatomic space for the vein usually as a result of an abnormal relationship with the fi rst rib, abnormal fi brous bands or muscle development in athletes . [510][511][512][513][514][515][516][517][518][519] Management of the venous thrombosis and the underlying structural abnormality has included acute anticoagulation; both local and systemic thrombolysis through a number of techniques; percutaneous angioplasty; thrombectomy; venous reconstruction; and in the case of PagetSchroetter syndrome, decompression of the thoracic inlet through removal of relevant bone and muscle.…”
Section: Children With Vte and Structurally Abnormally Venous Systemsmentioning
confidence: 99%
“…Clinically, asymptomatically, it is often incidental. Azygos continuation is found in 5% of patients under 30 years of age with unexplained deep vein thrombosis [14].…”
Section: Discussionmentioning
confidence: 99%