Anomalies of the inferior vena cava present a challenge to the performance of infrarenal aortic surgery. In the past, most of these variations were first discovered at surgery while the aorta was being exposed through traditional approaches. Preoperative testing allows the discovery and planning of a case-specific directed approach. Herein is reported a case of a right retroperitoneal exposure for repair of a left-sided inferior vena cava.
Get full access to this article
View all access options for this article.
References
1.
Reis RH, Esenther G.: Variations in the pattern of renal vessels and their relation to the type of posterior cava in man. Am J Anat104:295-318, 1959.
2.
Sieb GA: The azygous system of veins in American whites and American Negroes, including observations of the inferior caval venous system. Am J Phys Anthropol19:39-163, 1934.
3.
Davis RA, Milloy FJJr, Anson BJ: Lumbar, renal and associated parietal and visceral veins based upon a study of 100 specimens. Surg Gynecol Obstet107:1-22, 1958.
4.
Davis CJ, Lundberg GD: Retro-aortic left renal vein. A relatively frequent anomaly. Am J Clin Pathol50: 700-703, 1968.
5.
Milroy FJ, Anson BJ, Cauldwell EW: Variations in the inferior vena caval veins and their renal and lumbar communications . Surg Gynecol Obstet115:131-142, 1962.
6.
Crawford ES, Saleh SA, Babb JW, et al: Infrarenal abdominal aortic aneurysm: Factors influencing survival after operation performed over a 25 year period. Ann Surg196:699-709, 1981.
7.
Brener BJ, Darling RC, Frederick PL, et al: Major venous anomalies complicating abdominal aortic surgery . Arch Surg108:155-165, 1974.
8.
Bartle EJ, Pearce WH, Sun JH, et al: Infrarenal venous anomalies and aortic surgery: Avoiding vascular injury. J Vasc Surg6:590-593, 1987.
9.
Parikh SJ, Peters JC, Kihm RH: CT appearance of transposition of the inferior vena cava. ComputerizedRadiol6:269-274, 1982.
10.
Gomes MN, Choyke PL: Assessment of major venous anomalies by computerized tomography. J Cardiovasc Surg31:621-628, 1990.
11.
Alexander ES , Clark RA, Gross BH, et al: CT of congenital anomalies of the inferior vena cava. ComputerizedRadiol6:219-226, 1982.
12.
Hans SS, Gordon M.: Double inferior vena cava abdominal aortic aneurysm. J Cardiovasc Surg26:76-78, 1985.
13.
Perler BA: Abdominal aortic replacement with a left-sided inferior vena cava: Transperitoneal and left retroperitoneal approaches. J Cardiovasc Surg30: 236-240, 1989.
Davidson BR , Gardham R.: Selective use of a right retroperitoneal approach to abdominal aortic aneurysm. Br J Surg79:639-640, 1992.
16.
Chang BB, Paty PS, Shah DM, et al: The right retroperitoneal approach for abdominal aortic surgery . Am J Surg158:156-158, 1989.
17.
Williams GM , Ricotta J., Zinner M., et al: The extended retroperitoneal approach for treatment of extensive athersclerosis of aorta and renal vesels. Surgery88:846-855, 1980.
18.
Cambria RP, Brewster DC, Abbott WM, et al: Transperitoneal versus retroperitoneal approach for aortic reconstruction: A randomized prospective study. J Vasc Surg11:314-325, 1990.
