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(Radiographics. 2000;20:639-652.)
© RSNA, 2000


SCIENTIFIC EXHIBIT

Spectrum of Congenital Anomalies of the Inferior Vena Cava: Cross-sectional Imaging Findings1

(CME available in print version and on RSNA Link)

J. Edward Bass, MD, Michael D. Redwine, MD, Larry A. Kramer, MD, Phan T. Huynh, MD and John H. Harris, Jr, MD, DSc

1 From the Department of Radiology, University of Texas Health Science Center, Houston. Presented as a scientific exhibit at the 1998 RSNA scientific assembly. Received March 16, 1999; revision requested May 7 and received July 1; accepted July 8. Address reprint requests to J.E.B., Hermann Imaging and Breast Center, 6410 Fannin, Suite 170, Houston, TX 77030 (e-mail: J.E.Bass@uth.tmc.edu).

Congenital anomalies of the inferior vena cava (IVC) and its tributaries have become more commonly recognized in asymptomatic patients. The embryogenesis of the IVC is a complex process involving the formation of several anastomoses between three paired embryonic veins. The result is numerous variations in the basic venous plan of the abdomen and pelvis. A left IVC typically ends at the left renal vein, which crosses anterior to the aorta to form a normal right-sided prerenal IVC. In double IVC, the left IVC typically ends at the left renal vein, which crosses anterior to the aorta to join the right IVC. In azygos continuation of the IVC, the prerenal IVC passes posterior to the diaphragmatic crura to enter the thorax as the azygos vein. In circumaortic left renal vein, one left renal vein crosses anterior to the aorta and another crosses posterior to the aorta. In retroaortic left renal vein, the left renal vein passes posterior to the aorta. In circumcaval ureter, the proximal ureter courses posterior to the IVC. Other anomalies include absence of the infrarenal IVC or the entire IVC. These anomalies can have significant clinical implications. Awareness of these anomalies is necessary to avoid diagnostic pitfalls.

Index Terms: Renal veins, 966.134 • Ureter, abnormalities, 82.1439 • Veins, abnormalities, 569.159, 966.134, 982.131, 982.142 • Venae cavae, abnormalities, 569.159, 982.131, 982.142




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