Особенности клинического течения и диагностики агенезий нижней полой вены

Abstract

Analyzed survey contains findings obtained by following an examination and dynamic observation (from 2003 to 2012) of twenty-one patients with congenital abnormalities of the IVC. The diagnosis was verified CT- or MRI-phlebography data. In 16 patients the disease first manifested as peripheral thrombosis; fever, chill and subsequent edema of both legs first appeared in 5 patients. The unilateral iliofemoral thrombosis appeared in 9 patients (right – 6, left – 3) and bilateral in 4. In 1,5-12 months after the acute period of disease the signs of the IVC syndrome had appeared in every patient. Congenital anomalies of the IVC should be suspected if a deep vein thrombosis involves the iliac veins in 30-year-old patients or younger. For the diagnosis these anomalies need to perform CT– or MRI– phlebography