Intra-operative inferior vena cava syndrome in a patient with autosomal dominant polycystic kidney disease.
The renal and hepatic cysts characteristic of autosomal dominant polycystic kidney disease can exert a mass effect on surrounding structures. If this involves the inferior vena cava (IVC), patients usually present with signs and symptoms characteristic of congestive heart failure. However, the absence of these signs or symptoms does not exclude a potentially hemodynamically significant IVC syndrome. This case report describes a patient with no pre-operative evidence of congestive heart failure or IVC compression, who subsequently experienced intra-operative hypotension and hypoxemia due to an IVC syndrome.
Pierre
S A
SA
Department of Urology, Kingston General Hospital, Empire 4 76 Stuart Street, Kingston, ON K7L 2V7, Canada.
Jaeger
M T
MT
Siemens
D R
DR
D000328:Adult; D018450:Disease Progression; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications / Q000175:diagnosis; D011300:Preoperative Care; D018570:Risk Assessment; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000628:therapy