1. Thrombectomy and surgical reconstruction for extensive iliocaval thrombosis in a patient with agenesis of the retrohepatic vena cava and atresia of the left renal vein
- Author
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Giuseppe Carella, Francesco Spinelli, Giovanni De Caridi, Michele La Spada, Filippo Benedetto, Francesco Stilo, and Ignazio Salomone
- Subjects
Adult ,Male ,medicine.medical_specialty ,Vena cava ,Vascular Malformations ,Population ,Vena Cava, Inferior ,Prosthesis Design ,Inferior vena cava ,Renal Veins ,Blood Vessel Prosthesis Implantation ,Coagulopathy ,Medicine ,Humans ,cardiovascular diseases ,Risk factor ,education ,Polytetrafluoroethylene ,Thrombectomy ,Venous Thrombosis ,education.field_of_study ,business.industry ,General Medicine ,Phlebography ,medicine.disease ,Thrombosis ,Surgery ,DEEP VENOUS THROMBOSIS ,RARE RISK-FACTOR ,CONGENITAL ABSENCE ,PROSTHETIC REPLACEMENT ,LEIOMYOSARCOMA ,THROMBOLYSIS ,EXPERIENCE ,DISEASE ,Blood Vessel Prosthesis ,Treatment Outcome ,medicine.vein ,Agenesis ,Atresia ,cardiovascular system ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Tomography, X-Ray Computed - Abstract
In 80% of the patients presenting with deep-venous thrombosis (DVT), a risk factor can be identified. An absent or hypoplastic infrarenal vena cava is a rare risk factor for DVT in young adults. In these cases, the prevalence of congenital anomalies of the inferior vena cava (IVC) is estimated at 0.5% of the general population, up to 5% in young people. The association with coagulopathy increases the risk of DVT. We report a case of a young man who presented with a massive caval and iliofemoral-popliteal thrombosis in presence of the agenesis of retrohepatic inferior vena cava and atresia of the left renal vein. Open thrombectomy and caval reconstruction with a polytetrafluoroethylene graft were performed. Surgical option with vein reconstruction was preferred to prevent new episodes of thrombosis and the risk of acute renal failure.
- Published
- 2010