Surgical Management of the Abdominal Aortic Aneurysm in a Patient with Left-Sided Inferior Vena Cava and A Functional Solitary Left Kidney

Czech version

Authors: D. Nešpor; J. Černý; Z. Šilhart ^*; P. Němec
Authors‘ workplace: Centrum kardiovaskulární a transplantační chirurgie Brno, ředitel: doc. MUDr. Petr Němec, CSc. ; Chirurgická klinika Fakultní nemocnice Brno, přednosta: prof. MUDr. Zdeněk Kala, Ph. D. ^*
Published in: Rozhl. Chir., 2010, roč. 89, č. 10, s. 634-637.
Category: Monothematic special - Original

Overview

In a polymorbid female patient, an aneurysm of the abdominal aorta was discovered incidentally, necessitating admission to an angiosurgical department. On surgery, an additional problem was found, the left-sided inferior vena cava (a congenital anomaly of the venous system) as well as the juxtarenal aneurysm of the abdominal aorta. As the patient had a solitary functioning kidney, the resection of the aortic aneurysm was considered to be associated with unacceptable risk if performed at a standard department. Therefore, the patient was transferred to the Centre of Cardiovascular Surgery and Transplantations Brno where a resection of the aneurysm was performed. On resection, the perfusion of the solitary functioning kidney was maintained with organ preservation solution used in organ transplantations. The operation was uneventful, the postoperative course was complicated only by insignificant wound healing problems.

Key words:
aneurysm of abdominal aorta – congenital left-sided inferior vena cava – solitary functioning kidney

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