Percutaneous Orthotopic IVC Construction in a Pediatric Patient with Symptomatic IVC Agenesis
Inferior vena cava agenesis is an uncommon condition usually attributed to embryologic dysgenesis. When symptomatic, unprovoked deep venous thrombosis and/or lower extremity venous congestion are the most frequent manifestations. Its rarity has precluded consensus regarding appropriate management. Symptomatic chronic venous congestion requires surgical construction of auxiliary venous pathways, which may involve substantial morbidity, prolonged recovery and extensive scarring. We report successful minimally invasive management via percutaneous endovascular orthotopic inferior vena cava construction in a pediatric patient, thereby obviating the need for surgery and its associated morbidity.
Level of Evidence
Level IV, case study.
KeywordsIVCA (IVC agenesis) Neocava Interrupted IVC Percutaneous IVC construction
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
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For this type of study, consent for publication is not required.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required. Institutional Review Board (IRB) approval is not required for case reports at our institution.
For this type of study, informed consent is not required.