Abstract
Deep venous thrombosis (DVT) is a commonly encountered diagnosis in clinical practice with a variety of established risk factors. Inferior vena cava atresia (IVCA) is a rare vascular anomaly, but an established risk factor, associated with DVT, found in approximately 5% of cases of unprovoked lower extremity DVT in young adults. Patients who develop DVT are at high risk of long-term complications, including DVT recurrence and post-thrombotic syndrome. Thirty percent of inferior vena cava (IVC) anomalies are associated with hypercoagulable conditions in the younger population, Therefore, a hypercoagulable workup is beneficial in this population. We report a rare case of a 31-year-old male who presented with an extensive DVT of bilateral lower extremities secondary to IVC atresia. The treatment of choice for IVC atresia associated with extensive DVT is catheter-directed thrombolysis (CDT), endovascular IVC reconstruction with nitinol stent, and long-term anticoagulation.
Highlights
Inferior vena cava atresia (IVCA) is a rare vascular anomaly associated with deep venous thrombosis (DVT), found in approximately 5% of cases of unprovoked lower extremity DVT in the younger population (
IVCA- associated DVT is characterized by happening in the early thirties, predominantly male, often with a history of major physical exertion, and presents with extensive or bilateral DVTs
Thirty percent of inferior vena cava (IVC) anomalies are associated with hypercoagulable conditions in the younger population
Summary
Inferior vena cava atresia (IVCA) is a rare vascular anomaly associated with deep venous thrombosis (DVT), found in approximately 5% of cases of unprovoked lower extremity DVT in the younger population (
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