Raymundo Selma Regina de Oliveira, Cabral Vanessa Souza, Cavalieri Raissa Fortuna, Reis Neto Fernando
Cardiologia e Cirugia Vascular, Faculdade de Medicina de Sao Jose do Rio Preto, São José do Rio Preto, Brazil.
BMJ Case Rep. 2019 May 24;12(5):e229840. doi: 10.1136/bcr-2019-229840.
Malformations of inferior vena cava (IVC) as agenesis are a rare congenital anomaly and cause of deep venous thrombosis (DVT) of lower limbs and should be investigated in young patients of unknown aetiology. Treatment with mechanical thrombectomy and thrombolysis can be considered in certain cases of DVT, promoting rapid clot removal, and has also been shown to be an effective treatment in acute DVT. We present a case of acute lower limb DVT associated with IVC agenesis in which Alteplase thrombolysis was used and thrombus aspiration with catheter bilaterally, with subsequent angioplasty of the common and external iliac, obtaining satisfactory results.
下腔静脉（IVC）发育不全畸形是一种罕见的先天性异常，也是下肢深静脉血栓形成（DVT）的病因，对于病因不明的年轻患者应进行检查。在某些DVT病例中，可考虑采用机械血栓切除术和溶栓治疗，以促进血栓快速清除，并且已证明其对急性DVT也是一种有效的治疗方法。我们报告一例与IVC发育不全相关的急性下肢DVT病例，该病例采用了阿替普酶溶栓治疗，并双侧使用导管进行血栓抽吸，随后对髂总动脉和髂外动脉进行血管成形术，取得了满意的效果。
