Inferior Vena Cava Agenesis: An Unusual Cause of Deep Vein Thrombosis and Pulmonary Embolism in Young Adult Patients J. Ramos Aranda, C. Ramírez Cerda,

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Inferior Vena Cava Agenesis: An Unusual Cause of Deep Vein Thrombosis and Pulmonary Embolism in Young Adult Patients J. Ramos Aranda, C. Ramírez Cerda, S. Cohen Mussali, J. Valdés Flores EJVES Short Reports Volume 39, Pages 12-15 (January 2018) DOI: 10.1016/j.ejvssr.2018.03.005 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Acute prominent engorged abdominal collateral veins. EJVES Short Reports 2018 39, 12-15DOI: (10.1016/j.ejvssr.2018.03.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 Computed tomography angiography, coronal reconstruction, shows a confluent inferior vena cava stump (asterisk), dilated gonadal vein (right black arrow), dilated lumbar vein (left black arrow) and iliac veins (white arrowheads), and thrombosed right gonadal vein (long white arrow). EJVES Short Reports 2018 39, 12-15DOI: (10.1016/j.ejvssr.2018.03.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 Computed tomography angiography, coronal reconstruction shows discontinuity of the inferior vena cava at suprarenal level (white arrow), duplicated inferior vena cava draining in to the left renal vein (black arrow). EJVES Short Reports 2018 39, 12-15DOI: (10.1016/j.ejvssr.2018.03.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 4 Computed tomography angiography, coronal reconstruction shows the drainage of the left renal vein (white arrowhead) into the azygous system. EJVES Short Reports 2018 39, 12-15DOI: (10.1016/j.ejvssr.2018.03.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 5 Renal venography shows both renal veins draining directly into the thrombosed renal inferior vena cava, the right renal vein (black arrow) drains through a collateral into the right ventricle and the left renal vein drains into the azygous system (white arrow), also through a collateral. EJVES Short Reports 2018 39, 12-15DOI: (10.1016/j.ejvssr.2018.03.005) Copyright © 2018 The Author(s) Terms and Conditions

Figure 6 Right renal vein venography showing direct drainage into the right ventricle through a collateral (white arrow). EJVES Short Reports 2018 39, 12-15DOI: (10.1016/j.ejvssr.2018.03.005) Copyright © 2018 The Author(s) Terms and Conditions