Coincidence of deep phlebothromboses of iliacal vein and aplasia of the inf
erior vena cava is a rare condition but has significance for further therap
y. Two cases of this anatomical malformation with complications are present
ed and the importance of therapeutical strategies are discussed. We report
on our experiences with the operative procedures of venous thrombectomy and
arteriovenous fistula, aimed at increasing the venous flow in the collater
als of the aplastic inferior vena cava.