Abstract
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.
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Ishibashi, H., Kato, R., Kazui, H. et al. Case report of abdominal aortic aneurysm associated with left-sided inferior vena cava. Surg Today 27, 1182–1184 (1997). https://doi.org/10.1007/BF02385691
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DOI: https://doi.org/10.1007/BF02385691