title: [Reconstructive surgery of the abdominal aorta in a case of left-positioned inferior vena cava. Clinical case and review of the literature].
abstract: An unsuspected left-sided inferior vena cava (IVC) can present a formidable challenge for the surgeon attempting abdominal aortic surgery. The incidence of congenital anomalies of the post-renal (infrarenal) vena cava is approximately 3%, with double inferior vena cava most frequently occurring. The authors refer to a case of isolated left-sided vena cava in a 53 year old man who underwent an aorto-femoral bypass graft for aorto-iliac occlusive disease. On the basis of a literature review the authors recall the incidence and the embryology of this anomaly, and analyze its surgical implications, with particular reference to abdominal aortic surgery.
authors.affiliation: Istituto di Chirurgia Generale e Cardiovascolare, Ospedale Policlinico, Università degli Studi di Milano.
authors.forename: G F
authors.initials: GF
authors.lastname: Giuffrida
authors.forename: S
authors.initials: S
authors.lastname: Trimarchi
authors.forename: S
authors.initials: S
authors.lastname: Miani
authors.forename: A
authors.initials: A
authors.lastname: Lovaria
authors.forename: P L
authors.initials: PL
authors.lastname: Giorgetti
authors.forename: F
authors.initials: F
authors.lastname: Giordanengo
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging