|
KMID : 1037520210370010041
|
|
Vascular Specialist International
2021 Volume.37 No. 1 p.41 ~ p.45
|
|
|
Evacuation Technique of Left-Sided Inferior Vena Cava for a Successful Open Repair of a Large Juxtarenal Aortic Aneurysm
|
|
Kakkos Stavros K.
Apostolopoulou Paraskevi G.
Ntouvas Ioannis
Dimitrakopoulou Kalliopi
Kalogeropoulou Christina
Zampakis Peter
|
|
|
Abstract
|
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Abdominal aortic aneurysm, Inferior vena cava, Vascular grafting
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|