Surgical management of retro-aortic left renal vein in combined abdominal aortic and coronary surgery.
Although generally retro-aortic left renal vein is a rare anatomic finding, it occurs in 0.8% of the patients admitted for abdominal aortic aneurysm surgery. Surgeons fear fatal bleeding during clamping of the aorta, caused by a more caudal insertion of the retro-aortic left renal vein and a greater vulnerability of the anomalous tissue. Once such a complication occurs, a reconstruction of the retro-aortic left renal vein using a synthetic graft should be performed to obtain adequate renal venous flow and maintain renal function.
Drabe
N
N
Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
Zund
G
G
Hoerstrup
S P
SP
Jockenhövel
S
S
Vogt
P R
PR
Turina
M
M
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007431:Intraoperative Complications / Q000601:surgery; D008297:Male; D012082:Renal Veins / Q000002:abnormalities* / Q000293:injuries / Q000601:surgery; D014682:Vena Cava, Inferior / Q000601:surgery