Successful surgical management of pelvic congestion and lower extremity swelling owing to absence of infrarenal inferior vena cava

Wei Zhou, Wade Rosenberg, Alan Lumsden, James Li

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Absence of isolated infrarenal inferior vena cava (IVC) is a rare condition documented in only a few published cases and typically treated with anticoagulation. We herein describe successful surgical management of the isolated infrarenal IVC absence in a healthy 35-year-old woman who presented with disabling pelvic congestion. An ascending venogram showed the absence of infrarenal IVC with a large left ovarian vein draining pelvic collateral vessels to the normal left renal vein and suprarenal IVC. The patient was successfully treated with a common femoral vein to the suprarenal IVC bypass using a bifurcated polytetrafluoroethylene graft, with rapid symptom resolution, and remained symptom free 6 months later. This is the first reported case describing a surgical strategy for isolated infrarenal IVC absence in a symptomatic patient.

Original languageEnglish (US)
Pages (from-to)358-361
Number of pages4
JournalVascular
Volume13
Issue number6
DOIs
StatePublished - Nov 2005
Externally publishedYes

Keywords

  • Etiology
  • Infrarenal inferior vena cava absence
  • Pelvic congestion
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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