Öz

İnferiyor vena cavanın hemiazygos olarak devam etmesi genellikle genç yaşta idiyopatik derin ven trombozu ile birlikte görülmektedir. Bilgisayarlı tomografi ve manyetik rezonans görüntüleme gibi radyolojik görüntülemeler, semptom veya patoloji olmasa bile inferiyor vena cavanın doğuştan yokluğu veya agenezisini saptamak için önemlidir. Yazımızda literatüre göre ileri yaşta ve tromboembolizm hikayesi olmayan inferiyor vena cava yokluğu olan erkek hastamızı sunmaktayız. Torasik cerrahi planlamarında yaralanmalardan ve morbiditeden kaçınmak için inferior vena cava yokluğu gibi venöz anomalilere dikkat edilmelidir.

Anahtar Kelimeler

• İnferiyor vena cava yokluğu,hemiazygos,vasküler anomali

Is there a case of vena cava inferior absence without thromboembolism in elderly?

Öz

Hemiazygos continuation of the inferior vena cava generally represent with idiopatic deep vein thrombosis in young age.  Radiological imaging, such as computed tomography and magnetic resonance imaging, are important to detect congenital absence or agenesis of the inferior vena cava, even if there are no symptoms or pathologies. In our article we present a male patient with absence vena cava inferior who without thromboembolism history and quite advanced age according to the literatüre. Care should be taken for venous anomalies such as absence oragenesis of the inferior vena cava to avoid injury and morbidity when planning thoracic surgery. 

Anahtar Kelimeler

• Absence of inferior vena cava,hemiazygos,vascular anomaly

Kaynakça

1. Referans1. R.R. Chew, A.H. Limand D. Toh. Congenital absence of inferior vena cava: an under recognised cause of un provoked venous thromboembolism. An International Journal of Medicine, 2018, 117–118
2. Referans2. Matthew G. Smith, MS, RVT; Katherine Kane, MD. Ultrasound Detection of Absent Inferior Vena Cava. The Journa lfor Vascular Ultrasound, 2017; 41(1):26–30
3. Referans3. Abhishek Gupta1 , Sanjeev Kumar2 and Shyam S. Kothar. Congenital absence of infra renal inferior vena cava and deep veins of the lower limbs: a case report. Journal of Medical Case Reports (2016) 10:218.
4. Referans4. Roberto Jiménez Gil, MD, Alberto Miñano Pérez, MD, Jorge Bercial Arias, MD, Fernando Bernabeu Pascual, MD, and Eugenio Sansegundo Romero, MD. Agenesis of the inferior vena cava associated with lower extremities and pelvic venous thrombosis. J Vasc Surg 2006;44:1114-6
5. Referans5. JavaidIqbal*1 and Eswarappa Nagaraju2. Congenital absence of inferior vena cava and thrombosis: a case report. Journal of Medical Case Reports 2008, 2:46
6. Referans6. Barkat Ali ∗, M. Ali Rana, Mark Langsfeld, John Marek. A rare cause of claudication treated with IVC reconstruction: A case report. International Journal of Surgery Case Reports 14 (2015) 69–71
7. Referans7. Kugo Y, Iwai S, Yamauchi S, Hasegawa M, Kawata H. Hepatic vein redirection to improve pulmonary arteriovenous malformation safter Fontan completion in patients with absence of inferior vena cava and hemiazygos continuation. J Card Surg. 2019. 1-4