Congenital vena cava inferior agenesis

M. Zaniewski; T. Urbanek; J. Kostecki

doi:10.1055/s-0037-1617287

Phlebologie, Table of Contents

Phlebologie 2004; 33(04): 128-130
DOI: 10.1055/s-0037-1617287

Original Articles

Schattauer GmbH

Congenital vena cava inferior agenesis

Thrombosis of the deep veins of the lower extremities with concomitant iliac, portal and mesenteric vein thrombosisAngeborene Agenesie der unteren Hohlvenen: tiefe Beinvenenthrombose bei gleichzeitiger Thrombose der Beckenvene, Pfortader und Vena mesentericaThrombose der tiefen Venen der unteren Extremitäten mit gleichzeitiger Becken-, Portal- und MesenterialvenenthromboseAgénésie congénital de la veine cave inférieure: la phlébothrombose profonde des membres inférieurs avec la thrombose des veines iliaques, de veine porte et de veine mésentériqueThrombose des veines profondes des membres inférieurs avec thrombose iliaque, portale et mésentérique concomitante

Authors

M. Zaniewski

Department of Surgery (Head: Maciej Zaniewski MD, PhD), Medical University of Silesia, District Specialist Hospital, Tychy, Poland
T. Urbanek

Department of Surgery (Head: Maciej Zaniewski MD, PhD), Medical University of Silesia, District Specialist Hospital, Tychy, Poland
J. Kostecki

Department of Surgery (Head: Maciej Zaniewski MD, PhD), Medical University of Silesia, District Specialist Hospital, Tychy, Poland

Abstract

Summary

A patient aged 25 years with lower extremity deep vein thrombosis in the course of vena cava inferior agenesis is described. This very rare malformation can be connected with chronic venous insufficiency or thrombotic complications. In such cases other congenital abnormalities should be excluded and suspicion of vena cava inferior agenesis should always be taken into consideration in young patients with idiopathic deep vein thrombosis.

Zusammenfassung

Der Fall eines 25-jährigen Patienten mit Beinvenenthrombose infolge Agenesie der unteren Hohlvene wird beschrieben. Diese sehr seltene Fehlbildung kann mit chronischer Veneninsuffizienz und thrombotischen Komplikationen in Zusammenhang stehen. In solchen Fällen sollten andere kongenitale Abnormalitäten ausgeschlossen werden. Bei jungen Patienten mit idiopatischer Venenthrombose sollte stets die Möglichkeit der Hohlvenenagenesie in Betracht gezogen werden.

Résumé

On presente le cas d’un patient agé de 25 ans présentant la phlébothrombose profonde des membres inférieurs en cours de l’agénésie de la veine cave inférieure. Cette malformation vaisseauseuses rare peut être associée à la phlébothrombose et à l’insuffisance veineuseuse chronique. Dans tous ces cas mentionnés il faut exclure les autres pathologies mais il faut prendre en consideration l’agénésie de la veine cave inférieur chez tout les patients jeunes avec la phlébothrombose idiopathique des membres inférieurs.

Keywords

Deep vein thrombosis - vena cava agenesis

Schlüsselwörter

Beinvenenthrombose - Hohlvenenagenesie

Mots clés

La phlébothrombose profonde - l’agénésie de la veine cave

Full Text

References

References
1 Ashour MH, Jain SK, Kattan KM. Massive hemoptysis caused by congenital absence of a segment of inferior vena cava. Thorax 1993; 48: 1044-5.
2 Boillot O, Sarfati PO, Bringier J. Pathology of the inferior vena cava and liver transplantation. Ann Chir 1990; 44: 540-4.
3 Chee YL, Culligan DJ, Watson HG. Inferior vena cava malformation as a risk factor for deep vein thrombosis in the young. Br J Haematol 2001; 114: 878-80.
4 Cossu ML, Ruggiu M, Fais E. et al. Congenital anomalies of the inferior vena cava. Minerva Chir 2000; 55: 703-8.
5 Doughetery MJ, Caliagaro KD, DeLaurentis DA. Congenitally absent vena cava presenting in adulthood with venous stasis and ulceration; a surgically treated case. J Vasc Surg 1996; 23: 141-6.
6 Le Borgne J, Paineau J, Hamy A. Interruption of the inferior vena cava with azygos termination associated with congenital absence of the portal vein. Aurg Radiol Anat 2000; 22: 197-202.
7 Matsuoka T, Kimura F, Sugijama K. et al. Anomalous inferior vena cava with azygos continuation, dysgenesis of lung and clinically suspected absence of left pericardium. Chest 1990; 97: 747-9.
8 Mirzaie M, Schorn B, Meyer T. Deep leg and pelvic vein thrombosis in aplasia of the inferior vena cava. Vasa 1999; 28: 293-5.
9 Obernosterer A, Aschauer M, Schnedl W. et al. Anomalies of the inferior vena cava in patients with iliac venous thrombosis. Ann Intern Med 2002; 136: 37-41.
10 Obernosterer A, Aschauer M, Mitterhammer H. et al. Congenital familial vascular anomalies: a study of patients with an anomalous inferior vena cava, and of their first-degree relatives. Angiology 2004; 55: 73-7.
11 Over LM, van der Laan JG, Gokemeijer JD. Deep venous thrombosis as a complication of congenital absence of vena cava inferior. Ned Tijdsch Geneeskd 2002; 146: 537-8.
12 Pirolo L, Viggiano D, Amoroso A. et al. Inferior vena cava duplication with reference to venous asymetries. Ital J Anat Embryol 2002; 107: 169-75.
13 Ruggeri M, Tosseto A, Castmann G. et al. Congenital absence of the inferior vena cava: a rare risk factor for idiopatic deep vein thrombosis. Lancet 2001; 10 (Suppl. 357) 441.
14 Ruhlmann C, Engelmann L, Scheel H. et al. Thrombolysis of an extensive venous thrombosis of the lower body in an anomaly of the vena cava inferior. Dtsch Med. Wochenschr 1996; 121: 124-8.
15 Salgado Ordonez F, Gavilan Carrasco JC. et al. Absence of the inferior vena cava causing repeated deep venous thrombosis in an adult – a case report. Angiology 1998; 49: 951-6.
16 Schneider JG, Eynatten MV, Dugi KA. et al. Recurrent deep venous thrombosis caused by congenital interruption of the inferior vena cava and heterozygous factor V Leiden mutation. J Intern Med 2002; 252: 276-80.
17 Tiesenhausen K, Amann W, Thalhammer M. et al. Aplasia of vena cava inferior as a cause for recurring thrombosis of the lower extremities and pelvic veins. Vasa 1999; 28: 289-92.