open access

Vol 76, No 2 (2017)
CASE REPORTS
Published online: 2016-12-22
Submitted: 2016-09-16
Accepted: 2016-10-25
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Double inferior vena cava with three shunts: a rare anomaly with important implications for surgeons

W. Chaijaroonkhanarak, W. Pannangrong, J. Umka Welbat, M. Namking, K. Khamanarong, P. Prachaney
DOI: 10.5603/FM.a2016.0076
·
Pubmed: 28026845
·
Folia Morphol 2017;76(2):307-311.

open access

Vol 76, No 2 (2017)
CASE REPORTS
Published online: 2016-12-22
Submitted: 2016-09-16
Accepted: 2016-10-25

Abstract

Inferior vena cava (IVC) is the largest single vein that collects systemic venous blood from the lower part of the body except the gut and drains into the right atrium. Double IVC is a rare anomaly in humans and usually is discovered incidentally during the interventional radiological procedures or routine cadaveric dissection. Here we report a rare case of unusual observations in an adult female Thai cadaver with a duplicated left IVC with three short venous shunts and a variant pattern of the hemiazygos vein. Also included in this case was the presence of unilateral double renal vein on the right kidney. This type of anatomic variation of the great vein has never been reported before. A detailed description of these variations is useful and essential for the surgeons during approaching the retroperitoneal region.

Abstract

Inferior vena cava (IVC) is the largest single vein that collects systemic venous blood from the lower part of the body except the gut and drains into the right atrium. Double IVC is a rare anomaly in humans and usually is discovered incidentally during the interventional radiological procedures or routine cadaveric dissection. Here we report a rare case of unusual observations in an adult female Thai cadaver with a duplicated left IVC with three short venous shunts and a variant pattern of the hemiazygos vein. Also included in this case was the presence of unilateral double renal vein on the right kidney. This type of anatomic variation of the great vein has never been reported before. A detailed description of these variations is useful and essential for the surgeons during approaching the retroperitoneal region.

Get Citation

Keywords

inferior vena cava, supracardinal veins, venous shunt

About this article
Title

Double inferior vena cava with three shunts: a rare anomaly with important implications for surgeons

Journal

Folia Morphologica

Issue

Vol 76, No 2 (2017)

Pages

307-311

Published online

2016-12-22

DOI

10.5603/FM.a2016.0076

Pubmed

28026845

Bibliographic record

Folia Morphol 2017;76(2):307-311.

Keywords

inferior vena cava
supracardinal veins
venous shunt

Authors

W. Chaijaroonkhanarak
W. Pannangrong
J. Umka Welbat
M. Namking
K. Khamanarong
P. Prachaney

References (24)
  1. Ang WC, Doyle T, Stringer MD. Left-sided and duplicate inferior vena cava: a case series and review. Clin Anat. 2013; 26(8): 990–1001.
  2. Arisawa C, Kihara K, Fujii Y, et al. Possible misinterpretation on computed tomography of left inferior vena cava as retroperitoneal lymph node metastasis: a report of two cases. Int J Urol. 1999; 6(4): 215–218.
  3. Artico M, Lorenzini D, Mancini P, et al. Radiological evidence of anatomical variation of the inferior vena cava: report of two cases. Surg Radiol Anat. 2004; 26(2): 153–156.
  4. Bass JE, Redwine MD, Kramer LA, et al. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics. 2000; 20(3): 639–652.
  5. Cheng D, Zangan SM. Duplication of the inferior vena cava in a patient presenting for IVC filter placement. J Vasc Access. 2010; 11(2): 162–164.
  6. Eldefrawy A, Arianayagam M, Kanagarajah P, et al. Anomalies of the inferior vena cava and renal veins and implications for renal surgery. Cent European J Urol. 2011; 64(1): 4–8.
  7. Hayashi S, Naito M, Hirai S, et al. Proposal for a new classification of variations in the iliac venous system based on internal iliac veins: a case series and a review of double and left inferior vena cava. Anat Sci Int. 2013; 88(4): 183–188.
  8. Kellman GM, Alpern MB, Sandler MA, et al. Computed tomography of vena caval anomalies with embryologic correlation. Radiographics. 1988; 8(3): 533–556.
  9. Kennealey P, Saidi R, Markmann J, et al. Duplicated inferior vena cava-something to consider in the evaluation of a living-donor renal transplant. Dialysis & Transplantation. 2009; 38(10): 420–422.
  10. Kumar S. An anomaly of inferior vena cava: a rare case report. Kathmandu Univ Med J (KUMJ). 2006; 4(2): 253–255.
  11. Kumar AV, Kumar AA, Hussain A, et al. An uncommon encounter during temporary pacemaker implantation – A double inferior vena cava. Indian Heart J. 2016; 68: S216–S217.
  12. Loo ZY, Jhummon-Mahadnac N. Double inferior vena cava: a rare but important anatomical variation. Int J Anat Res. 2013; 1: 174–177.
  13. Lucas MF. A case of double inferior vena cava. J Anat. 1916; 51(Pt 1): 69–70.
  14. Mayo J, Gray R, St Louis E, et al. Anomalies of the inferior vena cava. AJR Am J Roentgenol. 1983; 140(2): 339–345.
  15. Moore KL, Persaud TVN, Torchia MG. Early development of the heart and blood vessels. In: The Developing Human: Clinically Oriented Embryology. Saunders, Philadelphia, pp 2013: 290–295.
  16. Polguj M, Szubert W, Topol M, et al. An unusual duplication of the inferior vena cava in a patient with endovascular repair for abdominal aortic aneurysm. Rom J Morphol Embryol. 2015; 56(2 Suppl): 875–878.
  17. Raza Ss, Farid S, Reddy Ms, et al. Duplication of the inferior vena cava. J Surg Case Rep. 2011; 2011(9): 10.
  18. Saad KR, Saad PF, Amorim CA, et al. Razuk Filho A Duplication of the inferior vena cava: case report and a literature review of anatomical variation. J Morphol Sci. 2012; 29: 60–64.
  19. Schoenwolf GC, Bleyl SB, Brauer PR, et al. Primitive embryonic venous system in divided into vitelline, umbilical, and cardinal systems. In: Larsen’s Human Embryology. Livingstone, Philadelphia, pp. 2009: 419–424.
  20. Shingleton WB, Hutton M, Resnick MI. Duplication of inferior vena cava: its importance in retroperitoneal surgery. Urology. 1994; 43(1): 113–115.
  21. Spentzouris G, Zandian A, Cesmebasi A, et al. The clinical anatomy of the inferior vena cava: a review of common congenital anomalies and considerations for clinicians. Clin Anat. 2014; 27(8): 1234–1243.
  22. Tanka M. Report of two cases of double inferior vena cava with an emphasis on embryogenesis and clinical relevance. Int J Anat Var. 2014; 7: 77–79.
  23. Woodburne RT, Burkel WE. The head and neck. In: Woodburn RT, (eds.). Essentials of Human Anatomy. 9th ed. Oxford University Press, New York. 1994: pp. 172–179.
  24. Xue HG, Yang CY, Asakawa M, et al. Duplication of the inferior vena cava associated with other variations. Anat Sci Int. 2007; 82(2): 121–125.

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