Home > Journals > Minerva Cardioangiologica > Past Issues > Minerva Cardioangiologica 2001 April;49(2) > Minerva Cardioangiologica 2001 April;49(2):141-6

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,695


eTOC

 

CASE REPORT  


Minerva Cardioangiologica 2001 April;49(2):141-6

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

Anomalies of the inferior vena cava in patients submitted to surgical vascular procedures in the aorto iliac district. Observation of two cases and review of the literature

Rispoli P., Ortensio M., Cassatella R., Conforti M., Moniaci D., Varetto G., Zan S., Raso A. M.


Full text temporarily not available online. Contact us  


Two cases of left-sided inferior vena cava observed in a patient affected by Leriche syndrome and the other affected by aortic abdominal aneurysm (AAA) are presented. This very rare congenital malformation (0.2-0.5) was not recognized by the duplex scanner performed preoperatively probably because of the low level of suspicion carried on by an experienced operator. Angio-CT e angio-MR which would have surely showed the anomaly, were not done because in the absence of an aneurysmal disease or other abdominal situations, these investigations were not required before operation. An angio-CT was performed routinely to the patient affected by AAA and so the left-sided vena cava was observed before operation; and then an abdominal arteriography and an ilio-caval venography were required which documented the vena cava anomaly. Surgical interventions didn't have complications. In the case of Leriche syndrome an aorto-bifemoral bypass was performed, and in the case of abdominal AAA an aortic left-iliac right-femoral bypass. Preoperative unrecognizing of this venous malformation is very hazardous mostly in terms of incontrollable intraoperative hemor-rhages. Ultrasonographic diagnosis with duplex scanner has to be very accurate in order to observe not only arterial diseases but also the possible venous anomalies of the abdominal district.

top of page

Publication History

Cite this article as

Corresponding author e-mail