Inferior Vena Cava Atresia: A Rare Vascular Malformation

Inferior vena cava (IVC) atresia is a rare congenital vascular malformation. We describe the case of a 20-year-old woman with IVC atresia who presented with a 3-month history of fatigue, oedema of the lower limbs and episodes of lipothymia. Transthoracic echocardiography and cardiac catheterization...

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Main Authors: Telma Alves, Diogo Leal, Ricardo Rodrigues, Carolina Terra, Sandra Santos, Joana Cascais Costa, Fàtima Silva
Format: Article
Language:English
Published: SMC MEDIA SRL 2023-02-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3744
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author Telma Alves
Diogo Leal
Ricardo Rodrigues
Carolina Terra
Sandra Santos
Joana Cascais Costa
Fàtima Silva
author_facet Telma Alves
Diogo Leal
Ricardo Rodrigues
Carolina Terra
Sandra Santos
Joana Cascais Costa
Fàtima Silva
author_sort Telma Alves
collection DOAJ
description Inferior vena cava (IVC) atresia is a rare congenital vascular malformation. We describe the case of a 20-year-old woman with IVC atresia who presented with a 3-month history of fatigue, oedema of the lower limbs and episodes of lipothymia. Transthoracic echocardiography and cardiac catheterization were performed, revealing interruption of the IVC with circulation through the azygos and hemiazygos system. An abdominal and pelvic computerized tomography (CT) scan confirmed the findings, demonstrating the absence of the IVC below the renal veins. Blood tests did not reveal any relevant results. These findings are consistent with the diagnosis of IVC atresia, a rare condition with no standard treatment. As a surgical approach was not possible, pharmacological measures were implemented for primary prevention of possible thrombotic events.
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spelling doaj.art-8d737eabac1c46728415710e9afeebb62023-02-03T11:08:07ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942023-02-0110.12890/2023_0037443279Inferior Vena Cava Atresia: A Rare Vascular MalformationTelma Alves0Diogo Leal1Ricardo Rodrigues2Carolina Terra3Sandra Santos4Joana Cascais Costa5Fàtima Silva6Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Portugal Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Portugal Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Portugal Radiologia, Centro Hospitalar e Universitário de Coimbra, PortugalMedicina Interna, Centro Hospitalar e Universitário de Coimbra, Portugal Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Portugal Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Portugal Inferior vena cava (IVC) atresia is a rare congenital vascular malformation. We describe the case of a 20-year-old woman with IVC atresia who presented with a 3-month history of fatigue, oedema of the lower limbs and episodes of lipothymia. Transthoracic echocardiography and cardiac catheterization were performed, revealing interruption of the IVC with circulation through the azygos and hemiazygos system. An abdominal and pelvic computerized tomography (CT) scan confirmed the findings, demonstrating the absence of the IVC below the renal veins. Blood tests did not reveal any relevant results. These findings are consistent with the diagnosis of IVC atresia, a rare condition with no standard treatment. As a surgical approach was not possible, pharmacological measures were implemented for primary prevention of possible thrombotic events.https://www.ejcrim.com/index.php/EJCRIM/article/view/3744inferior vena cavavascular malformationscollateral circulation
spellingShingle Telma Alves
Diogo Leal
Ricardo Rodrigues
Carolina Terra
Sandra Santos
Joana Cascais Costa
Fàtima Silva
Inferior Vena Cava Atresia: A Rare Vascular Malformation
European Journal of Case Reports in Internal Medicine
inferior vena cava
vascular malformations
collateral circulation
title Inferior Vena Cava Atresia: A Rare Vascular Malformation
title_full Inferior Vena Cava Atresia: A Rare Vascular Malformation
title_fullStr Inferior Vena Cava Atresia: A Rare Vascular Malformation
title_full_unstemmed Inferior Vena Cava Atresia: A Rare Vascular Malformation
title_short Inferior Vena Cava Atresia: A Rare Vascular Malformation
title_sort inferior vena cava atresia a rare vascular malformation
topic inferior vena cava
vascular malformations
collateral circulation
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3744
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AT diogoleal inferiorvenacavaatresiaararevascularmalformation
AT ricardorodrigues inferiorvenacavaatresiaararevascularmalformation
AT carolinaterra inferiorvenacavaatresiaararevascularmalformation
AT sandrasantos inferiorvenacavaatresiaararevascularmalformation
AT joanacascaiscosta inferiorvenacavaatresiaararevascularmalformation
AT fatimasilva inferiorvenacavaatresiaararevascularmalformation