3

As noted in our literature search, there were a few case reports of thromboembolic disease in patients with a duplicated IVC. In patients with DVT of the legs in this setting, the treatment paradigm protocol changes, caval interruption becomes paramount. The failure to interrupt both the right- and left-sided IVC can result in recurrent pulmonary embolism. Physicians need to be reminded that such anomalies of the IVC exist and that they may influence decision-making in patients with an acute presentation of thromboembolic disease.