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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 Giugno;40(3):421-4

lingua: Inglese

Resection of abdom­i­nal aor­tic aneu­rysm in a ­patient with ­left-sid­ed infe­ri­or ­vena ­cava and horse­shoe kid­ney

Sonneveld D. J. A., Van Dop H. R., Van Der Tol A.

From the Department of Surgery Martini Hospital, Groningen, The Netherlands


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The pres­ence of vas­cu­lar and ­renal ana­tom­i­cal anom­a­lies can ­create tech­ni­cal prob­lems dur­ing abdom­i­nal aor­tic sur­gery and may ­give ­rise to seri­ous intra­op­er­a­tive com­pli­ca­tions. We ­present a ­case of an abdom­i­nal aor­tic aneu­rysm resect­ed in a ­patient ­with the extreme­ly ­rare coex­is­tence of a ­left-sid­ed infe­ri­or ­vena ­cava and horse­shoe kid­ney. The diag­no­sis of the anom­a­lies was ­made ­prior to aor­tic sur­gery. CT-­scan of the abdo­men was the ­most accu­rate pre­op­er­a­tive inves­ti­ga­tion. Aortic sur­gery was per­formed ­through a trans­per­it­o­neal ­approach ­which ­allowed ­easy ­access to the aneu­rysm ­despite the pres­ence of the ­left-sid­ed infe­ri­or ­vena ­cava and horse­shoe kid­ney. Recognition of vas­cu­lar and ­renal anom­a­lies on pre­op­er­a­tive imag­ing stud­ies is impor­tant in the sur­gi­cal treat­ment of abdom­i­nal aor­tic aneu­rysms. If pos­sible anom­a­lies are rec­og­nized in ­time and treat­ed cor­rect­ly, the mor­bid­ity and mor­tal­ity of aneu­rysm ­repair ­should not be influ­enced.

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