Bilateral inferior vena cava filter insertion in a patient with duplication of the infrarenal vena cava.
AffiliationDepartment of Radiology, Cork University Hospital, Wilton, Cork, Ireland, firstname.lastname@example.org.
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CitationBilateral inferior vena cava filter insertion in a patient with duplication of the infrarenal vena cava. 2010: Ir J Med Sci
JournalIrish journal of medical science
AbstractBACKGROUND: Inferior vena cava (IVC) filter insertion is a commonly performed procedure for indications such as recurrent pulmonary emboli or contraindication to anticoagulation. Symptomatic duplication of the IVC is exceedingly rare with only a handful of cases being described in the literature. AIM: We report an unusual case of a patient with symptomatic duplication of the IVC. RESULT: A 53-year-old woman presented at our hospital for resection of a cerebral metastasis from a non-small cell lung cancer following a recent diagnosis of bilateral lower limb deep venous thrombosis. This required perioperative reversal of anticoagulation and IVC filter insertion. Conventional venography performed during filter insertion documented the existence of a duplicated IVC. CONCLUSION: We present a case of a symptomatic duplication of the IVC requiring filter insertion. We review the developmental anatomy of the IVC along with the diagnostic findings and management strategies available.