Multiple and recurrent systemic thrombotic events associated with congenital anomaly of inferior vena cava.
We describe a case of a 67-year-old woman with a history of cerebral infarction and pulmonary embolism that presented with chest pain. Subsequent evaluation resulted in a diagnosis of acute myocardial infarction and occult DVT, and imaging revealed a rare congenital absence of the infra-renal portion of the inferior vena cava, with lower extremity venous drainage diverted via an ascending lumbar vein. Associations between congenital absence of the inferior vena cava and thrombosis are discussed.
Takehara
Naohumi
N
The first Department of Medicine, Asahikawa Medical College, Asahikawa, Japan. takenao@asahikawa-med.ac.jp
Hasebe
Naoyuki
N
Enomoto
Setsu
S
Takeuchi
Toshiharu
T
Takahashi
Fumihiko
F
Ota
Takahumi
T
Kawamura
Yuichiro
Y
Kikuchi
Kenjiro
K
D000368:Aged; D001775:Blood Circulation; D002637:Chest Pain; D005260:Female; D006801:Humans; D011655:Pulmonary Embolism; D012008:Recurrence; D020521:Stroke; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000002:abnormalities*