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Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
Published on: January 13, 2023
Anomalous inferior vena cava with azygos continuation
R I Weiner1, V Maranhao, H B Levin
1Atlantic City Medical Center, NJ.
Insights
Anomalous inferior vena cava with azygos continuation is a rare finding in adults undergoing cardiac catheterization. This congenital anomaly, though common in pediatric heart disease, can be a diagnostic challenge for adult angiographers.
Area of Science:
- Cardiology
- Radiology
- Anatomy
Background:
- Anomalous inferior vena cava with azygos continuation is a rare congenital anomaly.
- It is more frequently detected in pediatric patients with congenital heart disease.
- This anomaly can present diagnostic challenges in adult imaging.
Purpose of the Study:
- To highlight the existence of anomalous inferior vena cava with azygos continuation.
- To inform angiographers working with adult patients about this anomaly.
- To emphasize its association with other congenital cardiac abnormalities.
Main Methods:
- Retrospective review of cardiac catheterization cases.
- Analysis of imaging findings across three institutions over six years.
- Identification of five patients with anomalous inferior vena cava with azygos continuation.
Main Results:
- Five cases of anomalous inferior vena cava with azygos continuation were identified.
- The anomaly was found in patients undergoing cardiac catheterization.
- The anomaly is often associated with other congenital cardiac defects.
Conclusions:
- Anomalous inferior vena cava with azygos continuation is an uncommon but significant finding in adult cardiac catheterization.
- Awareness of this anomaly is crucial for accurate diagnosis in adult cardiology.
- Further investigation into associated cardiac abnormalities is warranted.
Abstract:
Five patients who underwent cardiac catheterization at three separate institutions during a period of 6 years were found to have anomalous inferior vena cava with azygos continuation. Although it is not uncommon to detect this defect in pediatric patients with congenital heart disease, it may be an unusual finding for an angiographer who works primarily with adults. This article serves as a reminder of the existence of this potentially confusing anomaly, usually associated with other congenital cardiac abnormalities.
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