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A Journal on Surgery

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Chirurgia 2008 December;21(6):351-3

language: English

Left-sided inferior vena cava and abdominal aortic aneurysm. A case report

De Franciscis S. 1, Luongo A. 1, Di Virgilio A. 2, Mastroroberto P. 2, Ferrarelli A. 3, Serra R. 1

1 Department of Vascular Surgery University “Magna Graecia” Catanzaro, Italy
2 Department of Cardiothoracic Surgery University “Magna Graecia” Catanzaro, Italy
3 Department of Radiology University “Magna Graecia” Catanzaro, Italy


The association between abdominal aortic aneurysms (AAA) and congenital anomalies of the inferior vena cava (IVC) and its tributaries are encountered during aorto-iliac reconstruction. In our Department a 73 year-old-man underwent repair of an infrarenal AAA. Intravenous contrast-enhanced abdominal computed tomography (CT) revealed a fusiform infrarenal AAA and a left sided IVC that crossed over to the right side of the proximal aneurysmal neck. In this case a preoperative CT permetted to define the right approach to the surgical procedure reducing the risk for inadvertent injury and potentially life-threatening hemorrhage. If anomalies are timely recognized and correctly treated, the morbidity and mortality of aneurysm aortic repair should not be influenced.

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