A rare cause of claudication treated with IVC reconstruction: A case report

Abstract

HighlightsIVC agenesis is one of rare entities of IVC anomalies which presents in young patients with unprovoked DVTs or unexplained bilateral lower extremity edema.We are presenting a case of IVC agenesis which was initially overseen as the varicose veins and treated with microphlebectomy and then treated with IVC reconstruction.In young patients with severe manifestations of lower extremity venous hypertension i.e. edema, varicosity and DVT, central venous anomaly should be considered. IVC reconstruction is successful in severely symptomatic cases of IVC agenesis.

Inferior vena cava filter misplacement in the right ovarian vein and successful removal by loop-snare technique in a patient with inferior vena cava agenesis

“…The procedure has a high technical success rate and minimal complications 7 . Misplacement of an IVC filter in a gonadal vein is an extremely rare but recognized complication of filter placement from a jugular vein approach 6 ; we have found only three documented cases 8, 9, 10. This case is the first of which we are aware with IVC agenesis and compensatory enlargement of the gonadal vein.…”

“…Surgical thrombectomy, endovascular catheter-directed thrombolysis, and mechanical thrombectomy are indicated in cases with acute DVT. Surgical and endovascular reconstruction can be performed in cases of severe venous stasis symptoms and with inadequate response to medical and conservative treatment 6 . In our patient, no surgical or endovascular intervention was performed for IVC agenesis because the gonadal venous system had sufficiently compensated for it.…”