K. Mori et al., ABSENCE OF THE INFERIOR VENA-CAVA IN A PATIENT WITH OMPHALOCELE - 2-DIMENSIONAL ECHOCARDIOGRAPHIC AND CINEANGIOGRAPHIC FINDINGS, Heart and vessels, 11(2), 1996, pp. 104-109
We report an unusual form of absence of the inferior vena cava (IVC) i
n a patient with a repaired omphalocele. Two sets of bilateral paraver
tebral veins served as the channels of systemic venous return from the
lower half of the body. These veins were narrower than typical azygos
or hemiazygos continuation in the absence of the IVC, with the result
that a catheter from the femoral vein could not reach the right atriu
m (RA). Other associated venous-side anomalies were present, including
a chamber between the hepatic vein (HV) and RA, narrowing and angulat
ion at the junction between the HV and the chamber, and a subaortic in
nominate vein. All these anomalies were demonstrated by two-dimensiona
l and color Doppler echocardiography, The recognition of these venous
anomalies is important for cardiac catheterization or IVC cannulation
for cardiopulmonary bypass in patients with omphalocele.