Transposition of inferior vena cava

Dr Craig Hacking and Dr M Venkatesh et al.

Transposition of inferior vena-cava (also known as left-sided IVC) refers to a variant course of the inferior vena cava. It is the most common anomaly of IVC and occurs due to persistence of left supracardinal vein.

Diagnosis of left sided IVC is important for:

  • planning of vascular procedures like portosystemic shunts
  • abdominal aortic aneurysm repair
  • ligation of IVC in thromboembolic disease
  • placement of IVC filter
  • nephrectomy and renal transplantation

Gross anatomy

A left-sided IVC usually ends at left renal vein and crosses anteriorly to join normal pre-hepatic segment of IVC. Sometimes it crosses more posterior to aorta. Distally the IVC is formed by the confluence of the common iliac veins.

Radiographic features

  • color Doppler ultrasound may play a role as screening
  • contrast-enhanced CT confirms the diagnosis and also the course of the IVC
Anatomy: abdominopelvic
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Article information

rID: 25438
System: Vascular
Section: Anatomy
Tag: variant
Synonyms or Alternate Spellings:
  • Left sided IVC
  • Left sided inferior vena cava
  • Transposition of IVC
  • Transposed inferior vena cava
  • Left-sided IVC

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