Matić Predrag, Vučurević Goran, Djulejić Vuk, Ilijevski Nenad, Radak Djordje
Srp Arh Celok Lek. 2012 May-Jun;140(5-6):359-61. doi: 10.2298/sarh1206359m.
Congenital interruption of the inferior vena cava is a rare entity. It can be associated with other organ and system malformations, especially the cardiovascular system. Usually, patients are asymptomatic and the anomaly is therefore diagnosed incidentally. In some cases it can be of clinical importance.
A 22-year-old female was diagnosed during evaluation of cardiac symptoms. Clinical examination showed normal findings. CT angiography and cavography were used to establish the diagnosis of inferior vena cava interruption. Since there was no need for surgical intervention the patient was discharged in good condition. During a five year follow-up no significant health problems were noted with patient leading normal life.
Diagnostic tools used to establish the diagnosis of inferior vena cava interruption are ultrasonography, as well as CT and MR angiography and phlebography. Mediastinal masses found on chest roentgenogram must raise suspicion of inferior vena cava interruption. Although the anomaly is rare, physicians should be aware of the infrahepatic interruption of the IVC, especially because it can present at any age.
先天性下腔静脉中断是一种罕见的病症。它可能与其他器官和系统畸形相关，尤其是心血管系统。通常，患者无症状，因此该异常是偶然被诊断出来的。在某些情况下，它可能具有临床重要性。
一名22岁女性在评估心脏症状时被诊断出来。临床检查结果正常。使用CT血管造影和腔静脉造影来确诊下腔静脉中断。由于无需手术干预，患者状况良好地出院。在五年随访期间，未发现患者有重大健康问题，其生活正常。
用于诊断下腔静脉中断的诊断工具包括超声检查，以及CT和MR血管造影及静脉造影。胸部X线片上发现的纵隔肿块必须引起对下腔静脉中断的怀疑。尽管这种异常罕见，但医生应了解下腔静脉肝下中断情况，特别是因为它可在任何年龄出现。
