Evacuation Technique of Left-Sided Inferior Vena Cava for a Successful Open Repair of a Large Juxtarenal Aortic Aneurysm

Stavros K. Kakkos; Paraskevi G. Apostolopoulou; Ioannis Ntouvas; Kalliopi Dimitrakopoulou; Christina Kalogeropoulou; Peter Zampakis

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저자정보: Stavros K. Kakkos (Departments of Vascular Surgery School of Medicine of University of Patras Patras Greece) Paraskevi G. Apostolopoulou (Departments of Vascular Surgery School of Medicine of University of Patras Patras Greece) Ioannis Ntouvas (Departments of Vascular Surgery School of Medicine of University of Patras Patras Greece) Kalliopi Dimitrakopoulou (Departments of Anesthesiology and Intensive Care School of Medicine of University of Patras Patras) Christina Kalogeropoulou (Departments of Radiology School of Medicine of University of Patras Patras Greece) Peter Zampakis (Departments of Radiology School of Medicine of University of Patras Patras Greece)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.37 No.1

발행연도: 2021.1

수록면: 41 - 45 (5page)

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We report a case of successful open repair of a 7.5-cm juxtarenal abdominal aortic aneurysm (AAA) in the presence of a left-sided inferior vena cava (LS-IVC) crossing the aorta at the level of the renal arteries in a 72-year-old man. The orifice of the right renal artery was slightly caudal to that of the left renal artery and concomitant occlusive diseases of both iliac arteries were present. Based on the imaging and intraoperative findings, repair of the juxtarenal AAA was performed with mobilization of the LS-IVC, which was encircled twice with soft silicone rubber vessel loops on both sides of operating field and the blood content of the LS-IVC was temporarily evacuated. This procedure allowed proximal control with inter-renal clamping of the aorta and placement of an aortobifemoral polytetrafluoroethylene graft.

#Abdominal aortic aneurysm #Inferior vena cava #Vascular grafting

참고문헌 (15)

참고문헌 신청

Gargiulo M / 1994 / Left-side inferior vena cava and inflammatory abdominal aortic aneurysms : a case report / Cardiovasc Surg 2:619~622

Giordano JM / 1986 / Anomalies of the inferior vena cava / J Vasc Surg 3:924~928

Tsukamoto S / 2000 / Operative management of abdominal aortic aneurysm with left-sided inferior vena cava / J Cardiovasc Surg(Torino) 41:287~290

Dimic A / 2017 / Abdominal aortic surgery in the presence of inferior vena cava anomalies : a case series / Ann Vasc Surg 39:137~142

Bastounis E / 1997 / Anomalous inferior vena cava complicating abdominal aortic aneurysmectomy / J Cardiovasc Surg(Torino) 38:367~369

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