University of South Carolina School of Medicine, Columbia, SC, USA.
J Vasc Surg. 2011 Jun;53(6):1716-9. doi: 10.1016/j.jvs.2011.01.072. Epub 2011 Apr 8.
Inferior vena cava (IVC) occlusion may have widely varying clinical presentations that overlap with congenital IVC anomalies. Nevertheless, appropriate diagnosis, including differentiation from congenital absence, is mandatory. Endovascular therapy of chronic occlusions appears to yield results comparable to those of open repair. We report a case of infrahepatic IVC occlusion misdiagnosed as congenital absence of the IVC. The IVC occlusion was successfully recanalized and treated with angioplasty and stent placement.
下腔静脉(IVC)阻塞可能具有广泛的临床表现,与先天性 IVC 异常重叠。然而,包括与先天性缺失相区别的适当诊断是强制性的。慢性闭塞的血管内治疗似乎产生的结果与开放修复相当。我们报告了一例下腔静脉肝段阻塞误诊为先天性 IVC 缺失的病例。IVC 阻塞成功地再通,并进行了血管成形术和支架置入治疗。