Case report of abdominal aortic aneurysm associated with left-sided inferior vena cava

被引：1
|
作者：
Ishibashi, H [1 ]
Kato, R [1 ]
Kazui, H [1 ]
Ohta, T [1 ]
Nagata, Y [1 ]
机构：
[1] Aichi Med Univ, Dept Surg 2, Aichi 48011, Japan
来源：
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1997年 / 27卷 / 12期
关键词：
abdominal aortic aneurysm; left-sided inferior vena cava; venous anomaly; aortic surgery; digital subtraction angiography;
D O I：
10.1007/BF02385691
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Report on a 63-year-old man with an abdominal aortic aneurysm (AAA) complicated with a left-sided inferior vena cava (It-IVC). A computerized tomographic scan showed that the It-IVC crossed anteriorly over the AAA body from the left to the right side. A superimposed digital subtraction angiogram of the AAA and the It-IVC disclosed a topographic relationship between the two, and also provided useful preoperative imaging data. By dissecting the It-IVC through a transection of several lumbar veins and cranial traction of a transverse portion of the It-IVC, safe proximal aortic control was achieved. The aneurysm was successfully replaced with a bifurcated woven Dacron graft. The development of the It-IVC anomaly and methods for exposing the neck of the AAA when this anomaly is present are also discussed.
引用
收藏
页码：1182 / 1184
页数：3
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