Duplicated inferior vena cava and crossed renal ectopia with abdominal aortic aneurysm: Preoperative anatomic studies facilitate surgery

Shaw, Matthew B.K.; Cutress, Mark L.; Papavassiliou, V.; White, SA; Thompson, Matthew M.; Sayers, Robert D.

doi:10.1002/ca.10081

Cited by 17 publications

(15 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presence of a double IVC poses hazards to the surgeon during retroperitoneal surgery [6,10,22]. Unexpected abnormal venous injuries associated with an AAA repair have been reported [6,13,21]. With IVC duplication, the aneurysmal neck is usually crossed anteriorly by the junction of the left renal vein and LIVC.…”

Section: Discussionmentioning

confidence: 99%

“…Another surgical implication was observed during organ transplantation or nephrectomy [6,15]. It was especially important with associated with duplicated IVC anomalies such us right retrocaval ureter [12], transcaval ureter [9], renal ectopia [21] or horseshoe kidney [13]. Christakis et al [6] report the case of a patient with an infrarenal duplication of an IVC who after successful laparoscopic left donor nephrectomy, had a postoperative course complicated by ipsilateral scrotal swelling.…”

Section: Discussionmentioning

confidence: 99%

“…The most important clinical consequences of the duplication of the vena cava may be observed in retroperitoneal surgery [15,21]. Although the incidence of IVC anomalies is low, gaining control of the aorta during an AAA repair is often difficult and may be complicated by unexpected venous bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…An injury to an unrecognised anomalous vein can result in an unexpected severe haemorrhage. It is also clinically important in certain situations in retroperitoneal surgery [15,21] and laparoscopic nephrectomy [6], and can be a source of diagnostic uncertainty [20]. Duplication of the IVC can be mistaken as a pathological lesion, such as lymphadenopathy [15] or left pyelo-ureteric dilatation [7].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

et al. 2014

View full text Add to dashboard Cite

show abstract

“…It is a rare developmental variant that has been reported to occur in 0.2-4% of the population [13][14][15][16]. However, coexistence of duplication of the inferior vena cava with the abdominal aortic aneurysm is described only in a few studies [5,[17][18][19], in which it accompanies other vascular variations [18] or developmental anomalies [20]. The duplicated inferior vena cava has a reported incidence of 2-3% in autopsy studies [15,18].…”

Section: Duplication Of the Inferior Vena Cavamentioning

confidence: 99%

Coexistence of the Aortic Aneurysm with the Main Vein Anomalies: Its Potential Clinical Implications and Vascular Complication

Polguj¹,

Stefańczyk²,

Stefańczyk³

2017

Aortic Aneurysm

View full text Add to dashboard Cite

Four major variations of the venous system in the retroperitoneal space are the retroaortic left renal vein, left renal vein collar, left-sided inferior vena cava, and caval duplication. During surgery, especially, injury in veins is responsible for the most unexpected intraoperative bleeding. Therefore, above-mentioned anomalies pose potential hazards to surgeons during treatment of abdominal aortic aneurysm. Preoperative diagnosis is highly desirable but is not always available so, during abdominal surgery, familiarity with the anatomy of the most common types of venous variations is the first step toward preventing vascular injury. The chapter includes information describing the demographic, clinical, and morphological characteristics of the presence of the aforementioned main vein anomalies including: gender distribution, frequency in population, the most commonly reported symptoms, and associate complications. Massive intraoperative bleeding may be dangerous during aortic dissection; however, venous bleeding is more complicated than arterial hemorrhage. Significant venous bleeding, in particular, can occur if major retroperitoneal venous anomalies are present. The anomalous veins are typically thinwalled, dilated, and tortuous. As a result, manipulation of these veins during abdominal aortic surgery places the patient at high risk of long-term massive hemorrhage.

show abstract

Bilateral duplicated internal jugular veins: Case study and literature review

et al. 2006

View full text Add to dashboard Cite

A rare bilateral duplication of the internal jugular vein (IJV) was discovered during cadaveric dissection. From each jugular foramen, a single IJV descended to the level of the hyoid bone then divided into medial and lateral veins. The medial IJVs traveled in the carotid sheath; the lateral IJVs coursed posterolateral to the sheath across the lateral cervical region (posterior triangle) of the neck. On the right side, medial and lateral IJVs entered the subclavian vein separately. C2-C3 anterior rami and the suprascapular artery passed between the medial and lateral IJVs. The right external jugular vein passed aberrantly between the heads of the sternocleidomastoid muscle (SCM) into the subclavian vein anterior to the lateral IJV. On the left side, the medial IJV drained into a large bulbous jugulovertebrosubclavian (JVS) sinus that received six main vessels. The lateral IJV diverged posterolaterally toward the border of the trapezius muscle, received the transverse cervical vein, and then turned sharply anteromedially to drain into the JVS sinus. The lateral IJV also gave an aberrant additional large vein that passed laterally around the omohyoid muscle before entering the JVS sinus. The left external jugular vein paralleled the anterior border of SCM before passing posterolaterally to terminate in the JVS sinus. Jugular vein anomalies of this magnitude are very rare. Determining the frequency of multiple IJVs is hampered by inconsistent terminology. We suggest that IJV duplication differs from fenestration anatomically and, potentially, developmentally. Criteria for characterizing IJV duplication and fenestration are proposed. The mechanism of development and the clinical significance of multiple IJVs are discussed.

show abstract

Duplicated inferior vena cava and crossed renal ectopia with abdominal aortic aneurysm: Preoperative anatomic studies facilitate surgery

Cited by 17 publications

References 6 publications

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

Coexistence of the Aortic Aneurysm with the Main Vein Anomalies: Its Potential Clinical Implications and Vascular Complication

Bilateral duplicated internal jugular veins: Case study and literature review

Contact Info

Product

Resources

About