Percutaneous Orthotopic IVC Construction in a Pediatric Patient with Symptomatic IVC Agenesis

Inferior vena cava agenesis is an uncommon condition usually attributed to embryologic dysgenesis. When symptomatic, unprovoked deep venous thrombosis and/or lower extremity venous congestion are the most frequent manifestations. Its rarity has precluded consensus regarding appropriate management. S...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2019-02, Vol.42 (2), p.308-312
Main Authors: Schiffman, Marc H., Cornman-Homonoff, Joshua, Sos, Thomas A.
Format: Article
Language:English
Subjects:
Cardiology
Cardiovascular system
Case Report
Case studies
Congestion
Construction
DIGESTIVE SYSTEM
DISEASE INCIDENCE
FLUOROSCOPY
Imaging
Medicine
Medicine & Public Health
Morbidity
NMR IMAGING
Nuclear Medicine
PATIENTS
PEDIATRICS
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
Scars
SURGERY
Thromboembolism
THROMBOSIS
ULTRASONOGRAPHY
Ultrasound
VEINS
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Summary:Inferior vena cava agenesis is an uncommon condition usually attributed to embryologic dysgenesis. When symptomatic, unprovoked deep venous thrombosis and/or lower extremity venous congestion are the most frequent manifestations. Its rarity has precluded consensus regarding appropriate management. Symptomatic chronic venous congestion requires surgical construction of auxiliary venous pathways, which may involve substantial morbidity, prolonged recovery and extensive scarring. We report successful minimally invasive management via percutaneous endovascular orthotopic inferior vena cava construction in a pediatric patient, thereby obviating the need for surgery and its associated morbidity. Level of Evidence Level IV, case study.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-018-2098-6