PMID- 27666807
OWN - NLM
STAT- MEDLINE
DCOM- 20170309
LR  - 20170309
IS  - 1615-5947 (Electronic)
IS  - 0890-5096 (Linking)
VI  - 39
DP  - 2017 Feb
TI  - Abdominal Aortic Surgery in the Presence of Inferior Vena Cava Anomalies: A Case 
      Series.
PG  - 137-142
LID - S0890-5096(16)30825-1 [pii]
LID - 10.1016/j.avsg.2016.06.022 [doi]
AB  - BACKGROUND: Left-sided inferior vena cava (LIVC) and duplicated inferior vena 
      cava (DIVC) are rare asymptomatic congenital abnormalities. Unrecognized, these 
      anomalies can be the source of major injuries and cause serious life-threatening 
      bleeding complications especially during abdominal aortic surgery. METHODS: 
      Retrospective data for patients with 2 major inferior vena cava (IVC) anomalies 
      that underwent aortic surgery over a 13-year period were collected. Patient 
      demographics, type of aortic disease and caval anomaly, surgical approach, type 
      of aortic reconstruction associated with procedure on caval vein, postoperative 
      complications, and in-hospital mortality were recorded. RESULTS: There were 9 
      patients with inferior vena cava (IVC) anomalies who underwent aortic surgery. 
      All of them were men, with a median age of 66.2 years. Seven had an LIVC and 2 
      had DIVC. Five patients were operated on due to abdominal aortic aneurysm and 4 
      due to aortoiliac occlusive disease. In all patients, a midline transperitoneal 
      aortic approach was performed. In 5 cases, the left IVC had to be temporarily 
      resected and later reconstructed, and in the other 4 it was just mobilized. There 
      were no postoperative complications except in one patient who developed deep vein 
      thrombosis in the left calf; this was successfully treated with anticoagulant 
      therapy. CONCLUSION: Due to favorable results and low incidence of perioperative 
      complications and in the absence of other associated abdominal pathology, we 
      propose the midline transperitoneal approach with mobilization or temporary 
      resection of LIVC.
CI  - Copyright (c) 2016 Elsevier Inc. All rights reserved.
FAU - Dimic, Andreja
AU  - Dimic A
AD  - Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for 
      Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia. 
      Electronic address: adimic74@gmail.com.
FAU - Markovic, Miroslav
AU  - Markovic M
AD  - Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for 
      Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
FAU - Cvetkovic, Slobodan
AU  - Cvetkovic S
AD  - Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for 
      Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
FAU - Cinara, Ilijas
AU  - Cinara I
AD  - Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, 
      Belgrade, Serbia.
FAU - Koncar, Igor
AU  - Koncar I
AD  - Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for 
      Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
FAU - Davidovic, Lazar
AU  - Davidovic L
AD  - Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for 
      Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20160922
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
RN  - 0 (Anticoagulants)
SB  - IM
MH  - Aged
MH  - Anastomosis, Surgical
MH  - Anticoagulants/therapeutic use
MH  - Aorta, Abdominal/diagnostic imaging/*surgery
MH  - Aortic Aneurysm, Abdominal/complications/diagnostic imaging/*surgery
MH  - Aortic Diseases/complications/diagnostic imaging/*surgery
MH  - Arterial Occlusive Diseases/complications/diagnostic imaging/*surgery
MH  - *Blood Vessel Prosthesis Implantation/adverse effects
MH  - Humans
MH  - Iliac Artery/diagnostic imaging/*surgery
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/etiology/prevention & control
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Stockings, Compression
MH  - Treatment Outcome
MH  - Vascular Malformations/complications/diagnostic imaging/*surgery
MH  - Vena Cava, Inferior/abnormalities/diagnostic imaging/*surgery
EDAT- 2016/10/30 06:00
MHDA- 2017/03/10 06:00
CRDT- 2016/09/27 06:00
PHST- 2016/04/10 00:00 [received]
PHST- 2016/06/12 00:00 [revised]
PHST- 2016/06/14 00:00 [accepted]
PHST- 2016/10/30 06:00 [pubmed]
PHST- 2017/03/10 06:00 [medline]
PHST- 2016/09/27 06:00 [entrez]
AID - S0890-5096(16)30825-1 [pii]
AID - 10.1016/j.avsg.2016.06.022 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 2017 Feb;39:137-142. doi: 10.1016/j.avsg.2016.06.022. Epub 2016 
      Sep 22.