Anatomical variants · USMLE Step 1

An MRI shows a duplicated inferior vena cava (IVC). This finding results from persistence of which structure?

  1. Left supracardinal vein
  2. Left vitelline vein
  3. Right vitelline vein
  4. Common cardinal vein
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Correct answer: Left supracardinal vein

Duplicated IVC occurs when the left supracardinal vein fails to regress. It may be discovered incidentally but is important for surgical and interventional planning.

Difficulty: Medium Question 3 of 20

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