Vasc Spec Int.  2021 Mar;37(1):41-45. 10.5758/vsi.200073.

Evacuation Technique of Left-Sided Inferior Vena Cava for a Successful Open Repair of a Large Juxtarenal Aortic Aneurysm

Affiliations
  • 1Departments of Vascular Surgery, School of Medicine of University of Patras, Patras, Greece
  • 2Departments of Anesthesiology and Intensive Care, School of Medicine of University of Patras, Patras, Greece
  • 3Departments of Radiology, School of Medicine of University of Patras, Patras, Greece

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
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