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

Copyright © 2008 EDIZIONI MINERVA MEDICA

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


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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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