| Ruptured Abdominal Aortic Aneurysm
with Left-Sided Inferior Vena Cava: A Case Report |
(Department of Cardiovascular Surgery, National
Nagasaki Medical Center, Omura, Japan and Department of Cardiovascular
Surgery, Nagasaki University School of Medicine*, Nagasaki, Japan)
| Kentaro Yamane |
Masayoshi Hamawaki |
Kouji Hashizume |
| Katsuo Nishi |
Kiyoyuki Eishi* |
|
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We present a successful case of
ruptured abdominal aortic aneurysm with left-sided inferior vena
cava (IVC). A 74-year-old man, with complaints of abdominal pain
and loss of consciousness, was referred to our hospital. Computed
tomography revealed a ruptured aneurysm of the abdominal aorta,
and the operation was performed immediately. At the operation,
left-sided IVC was recognized to cross anteriorly over the abdominal
aorta at the usual level of the left renal vein. Proximal anastomosis
was safely performed with careful mobilization of the IVC in
the appropriate direction. The patient was in acute renal failure
after this procedure, with 9 days of continuous hemodiafiltration,
but he recovered to discharge on the 46th postoperative day with
normal renal function. The cardiovascular surgeon should be familiar
with anomalies of the IVC in performing procedures of the abdominal
aorta, especially in emergency operations, even if they are rare.
Jpn. J. Cardiovasc. Surg. 31：367-370 (2002) |
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