CASE REPORTS  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2002 April;43(2):241-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

The right retroperitoneal approach on abdominal aortic aneurysm with an isolated left-sided inferior vena cava. Report of a case

Nishimoto M., Hasegawa S., Asada K., Furubayashi K., Sasaki S.

From the Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Takatsuki City, Osaka, Japan

We ­report here­in ­the ­case of a 78-­year-­old ­man ­found to ­have abdom­i­nal aor­tic aneu­rysm ­(AAA) with an iso­lat­ed ­left-sid­ed infe­ri­or ­vena ­cava (­IVC). The ­patient ­was admit­ted to ­our hos­pi­tal to under­go sur­gery ­for ­the AAA. The com­put­ed tomog­ra­phy ­revealed ­the sac­u­lar aneu­rysm of ­the infra­ren­al abdom­i­nal aor­ta (60×40 mm) ­and ­right com­mon ­iliac aneu­rysm (30×30 mm). At ­the ­same ­time ­the ­left sid­ed ­IVC ­was ­found by ­the CT. This ­IVC (13 mm ­wide) ascend­ed 76 mm, dor­sal­ly to ­the ure­ter, ­the ­left ­side of ­the AAA ­from ­the ­right com­mon ­iliac ­artery to ­the ­left ­renal ­artery. We per­formed aneu­rys­mec­to­my ­and 20 mm knit­ted Dacron bifur­cat­ing ­graft replace­ment by ­the ­right ret­ro­per­i­to­neal ­approach with­out manip­u­lat­ing ­the ­left-sid­ed ­IVC. The pro­ce­dure ­was com­plet­ed with­out inci­dent ­and ­the ­patient ­has con­tin­ued to do ­well.