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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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The Journal of Cardiovascular Surgery 2002 August;43(4):507-10

VASCULAR SECTION 

 CASE REPORTS

Thrombosed aneurysm of the infrarenal vena cava: diagnosis and treatment

Alonso-Pérez M., Segura R. J., Vidal E. D.

Service of Vascular Surgery Hospital “Juan Canalejo”, Oviedo, Spain

Aneurysms of the infe­ri­or ­vena ­cava are ­rare. Usually ­they are diag­nosed inci­den­tal­ly or due to the ­patient hav­ing suf­fered throm­boem­bol­ic com­pli­ca­tions. We ­report one ­case of a ­patient admit­ted due to ­deep ­vein throm­bo­sis of his ­left low­er ­limb in ­whom a throm­bosed ­mass of the infra­ren­al ­vena ­cava and of ­both prox­i­mal com­mon ­iliac ­veins was detect­ed by ­duplex, CT ­scan and MRI. The addi­tion­al infor­ma­tion ­obtained by the phle­bog­ra­phy ­showed abun­dant col­lat­er­al cir­cu­la­tion via ascend­ing lum­bar ­veins, sug­gest­ing grad­u­al occlu­sion rath­er ­than sud­den throm­bo­sis. Guided biop­sy was not con­tem­plat­ed and the ­patient under­went sur­gery ­with a diag­no­sis of throm­bo­sis of the infra­ren­al ­vena ­cava due to sus­pect­ed malig­nan­cy ver­sus aneu­rysm. Intraoperative ana­tom­o­path­o­log­i­cal exam­ina­tion ­revealed no evi­dence of malig­nan­cy and par­tial resec­tion ­with infar­en­al ­vena ­cava liga­tion was per­formed. After six ­months the ­patient ­remains ­well ­under ­oral anti­co­ag­u­la­tion. On the ­basis of the lit­er­a­ture and tak­ing ­into ­account ­this ­case, the man­age­ment of aneu­rysms of the infe­ri­or ­vena ­cava ­when ­they ­have ­already suf­fered throm­bo­sis ­should ­include ­open sur­gery ­which ­allows us to ­make the diag­no­sis ­with cer­tain­ty and treat­ment of the ­patient.

language: English


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