The mainstay diagnosis of the presenting DVT symptom is an ultrasound with venous Doppler. Ultrasound with venous Doppler rarely identifies the inferior vena cava anomalies present from birth. Difficulties in identifying the congenital stenosis of the vena cava makes diagnosis uncommon. Diagnosis of congenital stenosis of the inferior vena cava can be rarely discovered through abdominal CT examinations, and may present with an array of clinical findings dependent on the drainage patterns of the individuals. Further diagnostic tools such as a transthoracic echocardiogram can reveal the narrowing of the vena cava showing a low velocity of flow. Congenital stenosis of the vena cava can also present as acute respiratory failure and effusion of the right lung on chest X-rays. Treatments
Treatments may not be necessary for the congenital heart defect. If required, treatments can include medication, catheter procedures, corrective surgery and heart transplants dependent on the severity of the defect, age of the patient and patients general health. Symptomatic relief of venous hypertension, associated with the congenital heart defect, can be achieved through surgery as it reduces the likelihood of hepatic vein thrombosis. Intravascular stents are a treatment method for Congenital Stenosis of the Vena Cava. Expandable metallic stents have been used as part of a procedure to dilate and maintain stenotic vena cava. Experiments carried out on mongrel dogs resulted in some failures for dilation and early migration, and occlusion complications in patients. Immediate relief of persisting symptoms occurred in two patients. Double balloon dilation is another technique used to treat stenosis of the vena cava.
The genetic occurrence leading to this condition is unknown but current studies identified the disease symptoms presents predominantly in adolescent males. Prevalence of the condition is very low as stenotic anomalies in vena cavae development are uncommon. Recognition of vena cava anomalies is difficult and can result in minor complications if left unrecognised. Surgery is carried out for presenting symptoms associated with the condition. Difficulties in diagnosis contribute to the low incident rates as many people live asymptomatically with this disease for many years, having no impact on the patients’ life. References


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