Evacuation Technique of Left-Sided Inferior Vena Cava for a Successful Open Repair of a Large Juxtarenal Aortic Aneurysm
| Autor: | Kalliopi Dimitrakopoulou, Stavros K. Kakkos, Paraskevi G. Apostolopoulou, Peter Zampakis, Christina Kalogeropoulou, Ioannis Ntouvas |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Juxtarenal aortic aneurysm Case Report 030204 cardiovascular system & hematology 030230 surgery Inferior vena cava Left sided 03 medical and health sciences abdominal aortic aneurysm 0302 clinical medicine medicine.artery medicine Right Renal Artery vascular grafting Polytetrafluoroethylene graft Aorta lcsh:RC633-647.5 business.industry lcsh:Diseases of the blood and blood-forming organs medicine.disease Abdominal aortic aneurysm Surgery medicine.vein lcsh:RC666-701 cardiovascular system Open repair inferior vena cava Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular Specialist International, Vol 37, Iss 1, Pp 41-45 (2021) Vascular Specialist International |
| ISSN: | 2288-7989 2288-7970 |
| DOI: | 10.5758/vsi.200073 |
| Popis: | We report a case of successful open repair of a 7.5-cm juxtarenal abdominal aortic aneurysm (AAA) in the presence of a left-sided inferior vena cava (LS-IVC) crossing the aorta at the level of the renal arteries in a 72-year-old man. The orifice of the right renal artery was slightly caudal to that of the left renal artery and concomitant occlusive diseases of both iliac arteries were present. Based on the imaging and intraoperative findings, repair of the juxtarenal AAA was performed with mobilization of the LS-IVC, which was encircled twice with soft silicone rubber vessel loops on both sides of operating field and the blood content of the LS-IVC was temporarily evacuated. This procedure allowed proximal control with inter-renal clamping of the aorta and placement of an aortobifemoral polytetrafluoroethylene graft. |
| Databáze: | OpenAIRE |
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