A case of inferior vena cava atresia complicated by bilateral deep vein thrombosis

A case of inferior vena cava atresia complicated by bilateral deep vein thrombosis

Khoncarly S; Edwards N; Buchino JJ; McDaniel JD

Radiology Case Reports

2021

2021-04-18

In this report, we describe a case of deep vein thrombosis with suspected congenital inferior vena cava atresia treated with thrombolysis, angioplasty, and bilateral “kissing” iliac stent placement. An 18-year-old male presented with left common iliac vein thrombus and suspected congenital inferior vena cava atresia. He was treated over 4 days and discharged on anticoagulation which was continued long-term. These treatments were shown to be clinically successful in treating and preventing re-thrombosis in the context of inferior vena cava atresia initially presenting with symptomatic bilateral lower extremity deep vein thrombosis.

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Deep vein thrombosis (DVT) is relatively uncommon and thought to occur in 0.1%–0.2% of the general U.S. population [1]. Inferior vena cava (IVC) atresia is associated with increased occurrence of DVT [2]. Few trials have evaluated the treatment of extensive DVT associated with IVC atresia. We present a case of successful DVT thrombolysis and IVC recanalization requiring bilateral iliac vein stenting and long-term anti-coagulation in an 18-year-old male with IVC atresia complicated by extensive bilateral lower extremity DVT.

journal article

1930-0433

NEOMED College of Medicine

Department of Radiology

April 2021