This case illustrates the feasibility of endovascular treatment for chronic venous insufficiency attributable to congenital atresia of the infrarenal inferior vena cava (IVC). Three-dimensional computed tomography (CT) venography can elucidate alternate sites of drainage and indentify other venous pathology, such as dominant stenoses that may be amenable to venoplasty and/or stent placement.
1. Tofigh AM, Coscas R., Koskas F., Kieffer E.Surgical management of deep venous insufficiency caused by congential absence of the infrarenal inferior vena cavaVasc Endovasc Surg.2008 ;42(1): 58-61.
2.
2. Chuang VP, Mena CE, Hoskins PACongenital anomalies of the inferior vena cava. Review of embryogenesis and presenta- tion of a simplified classificationBr J Radiol.1974 ;47(556): 206-213.
3.
3. Basile A , Certo A. , Ascenti G., Lamberto S., Cannella A., Garcia Medina J.Embryologic and acquired anomalies of the inferior vena cava with recurrent deep vein thrombosisAbdom Imaging.2003; 28(3):400-403.
4.
4. Ordonez FS, Carrasco JCG, Recio FJB.Absence of the inferior vena cava causing repeated venous thrombosis in an adultAngiology.1998;49(11):951-956.
5.
Shah NL, Shanley CJ, Prince MR, Wakefield WTDeep venous thrombosis complicating a congenital absence of the inferior vena cava. Surgery. 1996;120(5):891-896.
6.
Yun SS , Kim JI, Kim KH, et al. Deep venous thrombosis caused by congenital absence of the inferior vena cava, combined with hyperhomocysteinemia. Ann Vasc Surg . 2004; 18(1):124-129.
7.
Zhou W., Rosenberg W., Lumsden AJ, Li J.Successful surgical management of pelvic congestion and lower extremity swelling owing to absence of the infrarenal inferior vena cava. Vascular . 2005;13(6):358-361.
8.
Reporting standards in venous disease: an update.International Consensus Committee on Chronic Venous Disease. Porter JM, Moneta GL. J Vasc Surg. 1995 Apr;21(4):635-645.
