March/April - West Virginia State Medical Association

Scientific Article |
v) Both iliac veins—right atrium
vi) IVC-above confluence—IVC- at
the level of the renal veins
vii) IVC—right atrium
The major complications are
related to peri-op and postop
bleeding with good long
term outcomes. The current
recommendation is conservative
medical management with lifelong
anticoagulation using warfarin. 10,11
Conclusion
In a young patient with DVT and
no obvious risk factors, a Doppler
ultrasound may not be sufficient.
CT scan of the abdomen/pelvis may
be indicated as a screening test to
rule out congenital IVC anomalies.
Reference
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9. Dougherty MJ,Calligaro KD,DeLaurentis
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10. Yun SS,Kim JI,Kim KH,et al.DVT caused
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hyperhomocysteinemia. AnnVascSurg.
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11. T.A. Sagban. Surgical Treatment for
Agenesis of the Vena Cava: A Single-
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30 West Virginia Medical Journal