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  • Title: Inferior vena cava filter placement in a left IVC and drainage into duplicated SVC via hemiazygous continuation.
    Author: Sweeney J, Parikh N.
    Journal: Radiol Case Rep; 2018 Apr; 13(2):320-323. PubMed ID: 29904464.
    Abstract:
    Left-sided inferior vena cava (IVC) is the second most common anatomical anomaly of the IVC. We report a drainage pattern of the left IVC into a left duplicated superior vena cava (SVC) diagnosed during IVC filter placement consultation. The patient was a 66-year-old man with symptomatic hematuria caused by bladder cancer diagnosed with IVC thrombus and a left IVC found on a staging computed tomography urogram. The patient underwent computed tomography pulmonary angiogram, which ruled out pulmonary embolism, but demonstrated hemiazygous continuation of the left IVC above the diaphragm to meet a persistent left SVC (prevalence approximately 0.3%-0.5%) (Kim et al. 1995) [1] emptying into the right atrium via the coronary sinus. We report a novel drainage pattern of the left IVC into a duplicated left SVC via hemiazygous continuation.
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