Double inferior vena cava systems during retroperitoneal surgery: Description of a systematic approach to a rare and challenging anatomic variant

Chaud, Germán J; Lacombe, Louis; Dagenais, François

doi:10.1016/j.jvscit.2021.12.003

Cited by 1 publication

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally, 2 IVCs are located on both sides of the abdominal aorta [ 2 ]. It generally has no obvious symptoms, and is often incidentally discovered during surgery or examination [ 3 ]. There is also risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) in patients with congenital IVC malformations [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Successful Treatment Strategy for Duplicate Inferior Vena Cava and Deep Venous Thrombosis: Filter Placement and Thrombolysis Approach

Lan,

Dong,

Duan

2024

Am J Case Rep

View full text Add to dashboard Cite

Patient: Male, 84-year-old Final Diagnosis: Deep venous thrombosis • duplicate inferior vena cava Symptoms: Lower limb edema Clinical Procedure: — Specialty: Surgery Objective: Unusual clinical course Background: Duplicate inferior vena cava (IVC) accompanied by deep venous thrombosis is rare. The optimal treatment plan is determined according to the results of imaging, including venography. In this report, we present a case of successful treatment of a patient with duplicate IVC and deep venous thrombosis (DVT). Case Report: An 84-year-old man with history of hypertension was admitted to the hospital because of 4 days of moderate left lower-limb edema. A thorough examination led to the diagnosis of the DVT. The duplicate IVC was discovered during venography. As the blood from the left common iliac vein mainly flowed to the left IVC, and there were no other communicating branches before the convergence of the left and right IVCs, which was located above the 1 st lumbar vertebrae body near the junction of the hepatic vein and the IVC, the strategy of placing only 1 filter in the left inferior vena cava were chosen, rather than placing 1 filter above the confluence of bilateral IVC, or placing a filter in each IVC below the level of renal veins on each side. Following that, the DVT was safely treated with thrombolysis and aspiration without the risk of pulmonary embolism. Conclusions: This case report presented the complete evaluation and management of a patient with lower-limb DVT accompanied by the malformation of duplicate IVC. The filter placement strategy with duplicate IVC in the literature was summarized. We concluded that even in emergency situations, with comprehensive consideration, it is possible to perform endovascular intervention successfully and achieve satisfactory treatment results.

show abstract

Section: Introductionmentioning

confidence: 99%