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CHIRURGIA

A Journal on Surgery


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Chirurgia 2009 June;22(3):163-4

language: English

Abdominal aortic aneurysm associated with left-sided inferior vena cava

Marín-Manzano E. 1, González-De-Olano D. 2, Cuesta-Gimeno C. 1, Utrilla-López A. 1

1 Department of Vascular Surgery Hospital Ramón y Cajal, Madrid, Spain
2 Allergy Unit, Hospital de Fuenlabrada, Madrid, Spain


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Congenital anomalies of the venous system are a frequent event detected in patients who undergo vascular surgical procedures. One of the most common anomalies is the left-sided inferior vena cava (IVC), and has been frequently reported associated with infrarenal aortic aneurysm. A 68-year-old man was admitted to our Hospital complaining of recurrent renoureteral crisis. A computed tomography (CT) carried out showed an infrarenal aortic aneurysm with largest diameter of 7cm, and the existence of a left-sided inferior vena cava. By a middle laparotomy approach, the patient underwent an aneurysmorrhaphy and placement of an infrarenal aorto bi-iliac graft. Preoperative diagnosis of the anomalies with routine CT scan or nuclear magnetic resonance avoids the risk of unconscious injuries during surgical procedures, and reduces the complication rate.

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