Endovascular IVC Reconstruction in an 18 Year Old Patient with Subtotal IVC Atresia
| Autor: | Deepak Sudheendra, Dennis Kwon, Matthew L. Hung |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Nausea medicine.medical_treatment Case Report IVC reconstruction Inferior vena cava Post thrombotic syndrome medicine Diseases of the circulatory (Cardiovascular) system cardiovascular diseases Young adult IVC atresia Endovascular intervention business.industry Thrombolysis medicine.disease Surgery medicine.vein RC666-701 Atresia Deep venous thrombosis cardiovascular system Etiology IVC agenesis Presentation (obstetrics) medicine.symptom Cardiology and Cardiovascular Medicine business Post-thrombotic syndrome |
| Zdroj: | EJVES Vascular Forum, Vol 52, Iss, Pp 5-10 (2021) EJVES Vascular Forum |
| ISSN: | 2666-688X |
| DOI: | 10.1016/j.ejvsvf.2021.06.001 |
| Popis: | Introduction Inferior vena cava (IVC) atresia is an uncommon venous anomaly that is an under recognised cause of unprovoked acute deep venous thrombosis (DVT) in young adults. The purpose of this case report is to highlight endovascular IVC reconstruction as a feasible treatment option, particularly in challenging cases when other therapeutic modalities have failed. Report This is the report of an 18 year old patient with near complete IVC atresia and a longstanding history of exertional nausea of unknown aetiology, who presented with extensive acute DVT. He was treated successfully by endovascular IVC reconstruction after failing initial anticoagulation and thrombolysis. Symptom resolution and venous patency were maintained at 2.5 year follow up. Discussion IVC atresia is an important aetiology to consider in a young patient presenting with unprovoked DVT. Endovascular stenting can restore venous patency and is feasible even when there is near complete IVC atresia. This case was uniquely challenging in the length of atretic IVC that was reconstructed and also highlights an atypical clinical presentation of IVC atresia. Highlights • IVC atresia is a cause of unprovoked deep venous thrombosis in young adults. • Exertional nausea is an atypical clinical presentation of IVC atresia. • Endovascular stenting is an effective treatment option for IVC atresia. |
| Databáze: | OpenAIRE |
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