Ces radiol. 2010, 64(2):133-136

Aplasia of the inferior vena cavaCase report

Radim Pavlík¹, Miloslav Roček¹, Radek Pádr¹, Michal Polovinčák¹, Petra Zimolová², Vladimír Jirka³

¹ Klinika zobrazovacích metod 2. LF UK a FN Motol

² Oddělení kardiologie FN Motol

³ Interní oddělení II (kardiologie) Nemocnice Tábor

Congenital aplasia of the inferior vena cava (IVC) is a rare illness, which can stay asymptomatic for long period of time. Its most common manifestation is a deep vein thrombosis of the pelvic and femoral veins at young patient. The reason for generation of deep vein thrombosis is a nonadequate return of the venous blood from the lower half of the body across insufficient collateral bed, accompanied frequently with some type of coagulopathy. In the presented case, diagnostic and therapeutic methods at 21-year-old patient with congenital aplasia of the renal segment IVC with a quite rare type of short circuit via superior mesenteric vein and portal vein are described. Considering the surgical solution as highly dangerous, endovascular approach is the only suitable technique in the therapy of presented abnormality.

Keywords: aplasia, deep vein thrombosis, mechanical thrombectomy, thrombolysis, inferior vena cava

Accepted: April 15, 2010; Published: June 1, 2010  Show citation