Ruptured inferior vena cava aneurysm in the setting of mural vascular malformation: A case report

Momeni, Mohammad; Momeni, Fatemeh

doi:10.1002/jcu.22708

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…After reviewing the literature, we found just one case report of a ruptured inferior vena cava aneurysm, and none of ruptured SVC or azygos vein aneurysm. 8 …”

Section: Discussionmentioning

confidence: 99%

“…After reviewing the literature, we found just one case report of a ruptured inferior vena cava aneurysm, and none of ruptured superior vena cava or azygos vein aneurysm. 8 After resecting her aneurysm and reconstructing the superior vena cava, postoperative imaging showed a good surgical outcome without relevant stenosis and a completely eliminated aneurysmal sack, followed by a smooth recovery until discharge.…”

Section: Accepted Manuscriptmentioning

confidence: 94%

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Giant ruptured azygos vein aneurysm in a 33-year-old woman

Uzdenov

Ballazhi

Kroll

et al. 2023

Thorac Cardiovasc Surg Rep

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“…After reviewing the literature, we found just one case report of a ruptured inferior vena cava aneurysm, and none of ruptured SVC or azygos vein aneurysm. 8 …”

Section: Discussionmentioning

confidence: 99%

Section: Accepted Manuscriptmentioning

confidence: 94%

Giant ruptured azygos vein aneurysm in a 33-year-old woman

Uzdenov

Ballazhi

Kroll

et al. 2023

Thorac Cardiovasc Surg Rep

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“…[19,20] A retrievable IVC filter plays a crucial role, as it prevents PE and is recommended for the therapy of the iliofemoral DVT via Reya system in patients who have scheduled for interventional treatment. [21] Nonetheless, the patients who have contraindication to replace a IVC filter such as aneurysm of IVC, which reported rarely in the literature, [22][23][24][25] cannot be treated via a combined PMT and CDT therapy. In our series, a huge aneurysm of IVC was observed and the combined therapy failed due to an abortive IVC filter insertion (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

Combined pharmacomechanical thrombectomy with selective catheter-directed thrombolysis in patients with acute proximal deep vein thrombosis

Aldağ¹,

Ciloglu²

2022

Turk Gogus Kalp Dama

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Background: The aim of this study was to evaluate the characteristics and the outcomes of combined percutaneous pharmacomechanical thrombectomy with selective catheter-directed thrombolysis for acute iliofemoral deep vein thrombosis. Methods: Between March 2018 and February 2020, a total of 37 patients (21 males, 16 females; mean age: 55±13.8 years; range, 21 to 79 years) with symptomatic acute iliofemoral vein thrombosis who underwent combined percutaneous pharmacomechanical thrombectomy and catheter-directed thrombolysis were retrospectively analyzed. All patients received a three-step therapy: (i) insertion of a temporary inferior vena cava filter, (ii) percutaneous pharmacomechanical thrombectomy via rotational mechanical thrombectomy device with an adjuvant 0.15 mg/kg recombinant tissue-type plasminogen activator alteplase, and (iii) catheter-directed thrombolysis with continuous 1 mg/h tissue-type plasminogen activator alteplase. Data including demographic characteristics of the patients, bleeding complications, technical success, and adjuvant angioplasty rates were analyzed. The Kaplan-Meier analysis was used to evaluate freedom from re-thrombosis at 3, 6, and 12 months of follow-up was calculated. Results: The majority of the patients had left-sided (n=22, 59.4%) proximal deep vein thrombosis. Successful insertion of the inferior vena cava filter was achieved in 97.2% (n=36) of patients. The technical success rate was 89.1% (n=33). Adjuvant venous angioplasty was performed in four patients (10.8%) and no venous stents were used. No major bleeding was occurred, while minor bleeding was observed mostly in the form of hematuria (n=12, 32.4%). No mortality was observed. The 3, 6, and 12-month freedom from re-thrombosis rates were 96.3%, 92.6%, and 86.0%, respectively. Conclusion: Combined percutaneous pharmacomechanical thrombectomy and catheter-directed thrombolysis seems to be an effective and safe treatment of the iliofemoral acute deep vein thrombosis with acceptable minor bleeding complications post-interventionally.

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“…They may be discovered incidentally in asymptomatic patients, as it was in our case, or may present with complications, such as leg swelling, pulmonary embolism and retroperitoneal mass related effects, like abdominal/low back pain, hydronephrosis and bowel obstruction [ 3 – 5 ]. Because the symptoms are non-specific, imaging tests like ultrasonography, contrast-enhanced CT, magnetic resonance imaging and cavography play a vital role in the diagnosis of IVC aneurysms [ 6 ]. However, some IVC aneurysms could be confused with retroperitoneal tumors, such as renal carcinoma, sarcomas, enlarged lymph nodes, neurogenic tumors and primary IVC tumors [ 7 – 9 ], especially when the lumen of the aneurysm is completely thrombosed [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple inferior vena cava aneurysms mimic a retroperitoneal tumor: a case report

et al. 2020

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Background Inferior vena cava (IVC) aneurysms are extremely rare with variable clinical manifestations. Patients are usually asymptomatic or present with complications of thrombosis and rupture. To date, there have been only a few reports of the condition in the literature, and diagnosis of IVC aneurysms may be difficult. Case presentation A 33-year-old male patient presented to hospital because of a retroperitoneal mass found by computerized tomography during a health examination. He was asymptomatic, and post medical history and physical examination were unremarkable. Laboratory tests including tests for paraganglioma were all negative. Contrast-enhanced computed tomography scan revealed a stenosis of IVC in the suprarenal segment and two retroperitoneal mass on the right side of IVC. The larger one is about 3 cm in diameter and the smaller one is about 1 cm in diameter, which was considered as a retroperitoneal tumor with an enlarged lymph node. However, two IVC diverticular aneurysms were confirmed during the retroperitoneal laparoscopic exploration. The larger aneurysm was resected from the IVC successfully. Since the smaller aneurysm was about 1 cm in diameter without thrombosis, we did not resect it during surgery. The patient recovered well from surgery and discharged from our department successfully. Conclusions This is the first report of multiple IVC aneurysms. Because of the extremely low prevalence of IVC diverticular aneurysm, it may be misdiagnosed as other disease. Due to the high rate of thrombosis, surgical treatment especially retroperitoneal laparoscopy is recommended for small diverticular aneurysms.

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Ruptured inferior vena cava aneurysm in the setting of mural vascular malformation: A case report

Cited by 5 publications

References 14 publications

Giant ruptured azygos vein aneurysm in a 33-year-old woman

Giant ruptured azygos vein aneurysm in a 33-year-old woman

Combined pharmacomechanical thrombectomy with selective catheter-directed thrombolysis in patients with acute proximal deep vein thrombosis

Multiple inferior vena cava aneurysms mimic a retroperitoneal tumor: a case report

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