A rare cause of deep vein thrombosis: inferior vena cava agenesis.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2023-01-01 DOI:10.1590/1677-5449.202201262
Pablo Del Canto Peruyera, Manuel Javier Vallina-Victorero Vázquez
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Abstract

Inferior vena cava agenesis is a rare condition and is often misdiagnosed. This anomaly is asymptomatic in the majority of cases and is usually diagnosed during imaging tests carried out for other purposes. The most frequent manifestation is deep vein thrombosis (DVT) in lower limbs and anticoagulation therapy is the most frequent treatment option. Other techniques such as thrombolysis and venous bypass are also described. We report two cases diagnosed at our institution during the last year, both of which presented with an episode of DVT. We opted for indefinite anticoagulation therapy and both patients remain asymptomatic, after 1 year of surveillance in the first case and 6 months in the second, with no new episodes of DVT. Although it is not a life-threatening anomaly, it is important to make an appropriate diagnosis and provide treatment to improve the symptoms and quality of life of these patients.

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深静脉血栓形成的罕见原因:下腔静脉发育不全。
下腔静脉发育不全是一种罕见的疾病,经常被误诊。这种异常在大多数情况下是无症状的,通常在为其他目的进行的影像学检查中诊断出来。下肢深静脉血栓(DVT)是最常见的表现,抗凝治疗是最常用的治疗方案。其他技术如溶栓和静脉旁路也被描述。我们报告了去年在我们机构诊断的两例病例,这两例都表现为深静脉血栓的发作。我们选择了无限期抗凝治疗,两例患者均无症状,第一例监测1年,第二例监测6个月,无新的深静脉血栓发作。虽然它不是危及生命的异常,但重要的是要做出适当的诊断和提供治疗,以改善这些患者的症状和生活质量。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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