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congenital IVC

Hilal Sahin, Yeliz Pekcevik, Ramazan Aslaner
The duplication of the inferior vena cava (IVC) is a rare congenital anomaly, which also has some variations regarding the complex embryological development of the IVC. In the typical form, infrarenal IVC segments are duplicated and the left IVC joins the left renal vein, which crosses anterior to the aorta in the normal fashion to join the right IVC. In variant forms, the interruption of the intrahepatic segment of the IVC, azygos or hemiazygos continuation, or retroaortic course of the renal vein may be seen...
January 2017: Vascular and Endovascular Surgery
Saikat Bhattacharjee, Sunil Sanga, Pooja Gupta, R A George
Retrocaval ureter or circumcaval ureter is a rare congenital abnormality arising from dysgenesis of the inferior vena cava (IVC) that results in the right ureter coursing behind and medial to the IVC. The ideal nomenclature for the anomaly is preureteral vena cava, keeping in mind the aberrant embryology. It can result in hydronephrosis and is a rare cause of long-standing cyclical pain abdomen. Ultrasound, intravenous urography, nuclear scintigraphy, computed tomography urography (CTU) and magnetic resonance urography (MRU) have been used in the diagnosis of this abnormality but CTU, with its ability to depict the abnormality in three dimensions gives the most "wholesome" solution to its diagnosis...
December 2016: Medical Journal, Armed Forces India
Pierpaolo Di Nicolò, Luca Zanoli, Michele Figuera, Antonio Granata
This paper deals with two recent cases of Inferior Caval Vein (IVC) duplicity, congenital anomaly often but not always asymptomatic that should be considered in the differential diagnosis of flank pain when other more common disorders have been excluded. Here are described the clinical and surgical significance together with the typical sonographic findings useful for the diagnosis of IVC duplicity. Particular attention is given to a peculiar and easily repeatable sonographic aspect associated with IVC duplicity, not previously reported in Literature and that we called the "Neptune's sign"...
December 2016: Journal of Ultrasound
Takuma Fukunishi, Cameron A Best, Tadahisa Sugiura, Justin Opfermann, Chin Siang Ong, Toshiharu Shinoka, Christopher K Breuer, Axel Krieger, Jed Johnson, Narutoshi Hibino
BACKGROUND: Tissue-engineered vascular grafts (TEVGs) offer potential to overcome limitations of current approaches for reconstruction in congenital heart disease by providing biodegradable scaffolds on which autologous cells proliferate and provide physiologic functionality. However, current TEVGs do not address the diverse anatomic requirements of individual patients. This study explores the feasibility of creating patient-specific TEVGs by combining 3-dimensional (3D) printing and electrospinning technology...
November 14, 2016: Journal of Thoracic and Cardiovascular Surgery
Mi-Hyeong Kim, Kang-Woong Jun, In-Sung Moon, Ji-Il Kim
Congenital anomalies of the inferior vena cava (IVC) are rare but important problems in living donors for kidney transplantation, especially in cases of a short left renal vein and accompanying vascular and urological anatomic variations. However, the clinical impacts of IVC anomalies in deceased donors have yet to be reported. The unexpected presence of an IVC in an unusual position poses challenges to surgeons and increases the risk of bleeding during organ removal. Accompanying vascular variations can cause unexpected bleeding and injury and therefore technical complications in procurement and subsequent implantation...
November 2016: Annals of Surgical Treatment and Research
Mihiri Wettasinghe, Kumari Pussepitiya, Bandula Samarasinghe, Nuwan Wickramasinghe
Introduction. Vitelline artery remnants are rare causes of intra-abdominal bands leading to bowel obstruction. These bands may be associated with Meckel's diverticulum. Double inferior vena cava (IVC) is a rare presentation and is usually identified incidentally. Case Presentation. A sixty-year-old male presented with progressive vomiting for five days and he was clinically diagnosed with intestinal obstruction. Plain X-ray abdomen showed evidence of small bowel obstruction. CT scan of the abdomen revealed dilated small bowel loops with a small outpouching in the distal ileum with a band like structure attached to it...
2016: Case Reports in Radiology
A Vasanth Kumar, A Anirudh Kumar, Anwar Hussain, Vaddera Sameeraja
Double inferior vena cavae (IVC) is a congenital variation caused by an unusual embryological development of the IVC. We report an incidental finding of infrarenal double IVC in a 70-year-old female.
September 2016: Indian Heart Journal
Andreja Dimic, Miroslav Markovic, Slobodan Cvetkovic, Ilijas Cinara, Igor Koncar, Lazar Davidovic
BACKGROUND: Left-sided inferior vena cava (LIVC) and duplicated inferior vena cava (DIVC) are rare asymptomatic congenital abnormalities. Unrecognized, these anomalies can be the source of major injuries and cause serious life-threatening bleeding complications especially during abdominal aortic surgery. METHODS: Retrospective data for patients with 2 major inferior vena cava (IVC) anomalies that underwent aortic surgery over a 13-year period were collected. Patient demographics, type of aortic disease and caval anomaly, surgical approach, type of aortic reconstruction associated with procedure on caval vein, postoperative complications, and in-hospital mortality were recorded...
September 22, 2016: Annals of Vascular Surgery
Vincent Galand, Dominique Pavin, Nathalie Behar, Philippe Mabo, Raphaël P Martins
Congenital anomalies of the inferior vena cava (IVC) are rare and very often diagnosed in asymptomatic patients during computed tomography performed for other purposes. These anomalies can have significant clinical implications, for example if electrophysiology procedures are needed. Diagnostic and ablation procedures are difficult since catheter manipulation and positioning are more complex. We present here a case of successful atrioventricular nodal reentrant tachycardia ablation in a patient with unexpected IVC agenesis, using an azygos route...
October 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
Moisés Rodríguez-González, Ana Castellano-Martinez
The presence of aneurysms in the territory of the inferior vena cava (IVC) is an extremely rare finding in children and few cases have been reported in the literature. Etiology is unknown and some authors have hypothesized that it can be related to a congenital defect. Most cases present as incidental radiologic findings in asymptomatic patients, but can appear as life-threatening massive thrombosis. Clinical presentation is very heterogeneous and it should be included in the differential diagnosis of patients with retroperitoneal masses...
January 2017: Annals of Vascular Surgery
Agostino Pozzi, Mustapha A El Lakis, Jad Chamieh, Beatriz Barberà Carbonell, Fabio Villa
Congenital malformations of the inferior vena cava (IVC) are rare and underreported. They can be a risk factor for deep venous thrombosis (DVT) as a result of inadequate venous drainage of the lower extremities through collateral circulation. The significant number of cases reported in the literature highlights their importance, warranting investigating their existence in younger individuals with idiopathic DVT of the lower extremities and pelvic veins. In this systematic review, we depict the typical presentation of IVC malformations, their management, and the management of their associated DVT...
2016: Thrombosis
Gholam Hossein Ajami, Hamid Mohammadi, Ahmad Ali Amirghofran, Mohammad Borzouee, Hamid Amoozgar, Sirous Cheriki, Mohammad Reza Edraki, Nima Mehdizadegan, Hamid Arabi, Fathi Alvasabi, Amir Naghshzan
To assess quantitative measurement of mean pulmonary artery pressure (PAP) in extracardiac total cavopulmonary connection (TCPC) patients by noninvasive echocardiographic inferior vena cava collapsibility index (IVC-CI) and also correlation between the peripheral vein pressure and mean PAP. In 19 TCPC patients with at least 1-year follow-up after completion of TCPC, complete echocardiography including IVC-CI was recorded. All patients underwent cardiac catheterization for mean PAP pressure, peripheral vein pressure (PVP) and contrast study...
October 2016: Pediatric Cardiology
Mariana S Parahuleva, Mehmet Burgazli, Nedim Soydan, Wolfgang Franzen, Norbert Güttler, Ali Erdogan
We report an interesting case of a man with a persistent left superior vena cava (PLSVC) with left azygos vein who underwent electrophysiological evaluation. Further evaluation revealed congenital dilated azygos vein, while a segment connecting the inferior vena cava (IVC) to the hepatic vein and right atrium was missing. The azygos vein drained into the superior vena cava, and the hepatic veins drained directly into the right atrium. The patient did not have congenital anomalies of the remaining thoracoabdominal vasculature...
2016: Clinical Medicine Insights. Cardiology
Navin Agrawal, Apurva Vasavada
Klippel-Trenaunay syndrome is a rarely encountered congenital disease characterized by a triad of enlarged arteries and veins, limb hypertrophy and capillary malformations. We are presenting an interesting case of a 23-year male who had been previously diagnosed to have Klippel-Trenaunay syndrome. The patient presented with large pulmonary embolism after having undergone laser surgery for varicose veins. The diagnostic chest computed tomography (CT) performed also revealed the co-existence of severe destructive pulmonary parenchymal disease involving large areas of the pulmonary parenchyma and formation of large emphysematous bullae having an asymmetric involvement of the left lung field...
May 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Danilo Coco, Sara Cecchini, Silvana Leanza, Massimo Viola, Stefano Ricci, Roberto Campagnacci
A case of a double inferior vena cava (IVC) with retroaortic left renal vein, azygos continuation of the IVC, and presence of the hepatic portion of the IVC drained into the right renal vein is reported and the embryologic, clinical, and radiological significance is discussed. The diagnosis is suggested by multidetector computed tomography (MDCT), which reveals the aberrant vascular structures. Awareness of different congenital anomalies of IVC is necessary for radiologists to avoid diagnostic pitfalls and they should be remembered because they can influence several surgical interventions and endovascular procedures...
2016: Case Reports in Radiology
Abhinav Agrawal, Atul V Palkar, Sonu Sahni, Sheel K Vatsia, Rakesh D Shah, Arunabh Talwar
Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital anomaly that leads to an anatomical left-to-right shunt. Termination of the intrahepatic inferior vena cava (IVC) with its azygos continuation associated with the hepatic venous connection to the left atrium (LA) is also a rare congenital anomaly that results in an anatomical right-to-left shunt. A 65-year-old male presented with severe dyspnea on exertion and pedal edema. He was further diagnosed at our clinic and was found to have both the aforementioned congenital abnormalities, creating a bidirectional shunt...
May 2016: Lung India: Official Organ of Indian Chest Society
Shruti P Gandhi, Pranjal Modi, Harsh Sutariya, Kajal Patel
Congenital anomalies of the Inferior Vena Cava (IVC) result from the persistence of the embryonic venous system. Knowledge of such anomaly is of great importance during abdominal surgery, liver and kidney transplantation, renal venous sampling and in the treatment of thromboembolic diseases. Here, we report a rare anatomical variation of dual IVC with normal course of right sided IVC and hemiazygous continuation of left sided IVC with interiliac communication in potential renal donor. Congenital abnormalities of the inferior vena cava are easily identified on Computed Tomography (CT) and should be considered when interpreting any CT of the abdomen or chest...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
Pramod Shaha, Ashish Garg, Kulamani Sahoo, Nupoor Kothari, Pooja Garg
Duplication of inferior vena cava is an uncommon abnormality and is important in daily today practice for vascular surgeons, radiologist and urologist especially during retroperitoneal surgeries and treatment of thromboembolic disease. Radiologically, Duplicated IVC can be mistaken for lymphadenopathy or left pyeloureteric dilatation. Crossed fused kidney with a single ureter defy the embryological theory of ureteric bud crossing the opposite side and induce nephron formation associated anomaly of Duplication of inferior vena cava and malrotation of gut are not reported in a same patient...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
Rajsekar Chandrasekharan, Sreekumar K Pullara, Tixon Thomas, Nazar Puthukudiyil Kader, Srikanth Moorthy
We present two cases of congenital intrahepatic portosystemic shunts in which the right portal vein directly communicated with the inferior venacava (IVC) in one patient and with the hepatic vein in the other. Multiple hepatic nodules consistent with focal nodular hyperplasia (FNH) were seen in the first patient. The second patient presented with recurrent history of hepatic encephalopathy. Percutaneous transhepatic embolization was performed using coils and Amplatz device following which she completely recovered...
January 2016: Indian Journal of Radiology & Imaging
Javairiah Fatima, AbdulAziz AlGaby, James Bena, Mohammad N Abbasi, Daniel G Clair
OBJECTIVE: Inferior vena cava (IVC) thrombosis is an uncommon condition but can cause devastating complications to those affected. Historically, this has been treated with an open surgical approach (with high morbidity) and with angioplasty in more recent years. Herein we describe technical aspects of stenting of the IVC in patients with recalcitrant chronic occlusive disease and evaluate its outcomes. METHODS: We reviewed all the patients treated in an endovascular fashion for venous disease at our institution from 2005 to 2014 to identify and to include those with IVC stent placement in this study...
October 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
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