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Chest, Vol 90, 916-918, Copyright © 1986 by American College of Chest Physicians

ARTICLES

Duplication of the inferior vena cava in thromboembolic disease

WR Reinus and FR Gutierrez

Recurrent pulmonary embolism from the lower extremities or pelvis, despite anticoagulation, often requires interruption of the inferior vena cava (IVC). We report two patients in whom interruption of the IVC failed to ameliorate symptoms. Both patients demonstrated a previously unrecognized duplication of the IVC. We stress the importance of excluding abdominal venous anomalies prior to interrupting the IVC using surgical or percutaneous methods.




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Copyright © 1986 by the American College of Chest Physicians.