Surgical Repair of Congenital Stenosis of the Inferior Vena Cava

Abstract

The congenital stenosis of the inferior vena cava (IVC) is a rare anomaly causing numerous clinical manifestations, depending on the variant of drainage patterns or collaterals. This case presents a ϐive-year-old Azerbaijani male, who suffered with massive ascites and a leg edema for three months. IVC stenosis was detected on echocardiography, due to a high velocity ϐlow and visualisation of a focal narrowing between the IVC oriϐice and the proximal end of the hepatic vein entry. The IVC stenosis was conϐirmed by computed tomography. Surgical dilatation of the IVC using xeno-pericardial patchplasty was performed under the cardiopulmonary bypass. This successful surgical correction of IVC stenosis is the only case ever reported in Azerbaijan. Key words: surgical repair, congenital stenosis, inferior vena cava, computed tomography , IVC stenosis