title: Ruptured abdominal aortic aneurysm with left-sided inferior vena cava.
abstract: We present a case of ruptured abdominal aortic aneurysm with left-sided inferior vena cava. An 82-year-old man was admitted to our hospital with a sudden onset of severe abdominal pain and loss of consciousness. Computed tomography revealed rupture of an infrarenal abdominal aortic aneurysm and a left-sided inferior vena cava. At surgery, the inferior vena cava was found to cross anteriorly over the abdominal aorta at the usual level of the renal vein. Graft replacement was successfully performed, with careful mobilization and retraction of the inferior vena cava. The patient had an uneventful postoperative course without any deterioration of renal function.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, Tachikawa, Tokyo, Japan. tetsuyan77@gmail.com
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Niino
authors.forename: Satoshi
authors.initials: S
authors.lastname: Unosawa
authors.forename: Kazuma
authors.initials: K
authors.lastname: Shimura
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D033162:Incidental Findings; D008297:Male; D010690:Phlebography / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014474:Unconsciousness / Q000209:etiology; D054079:Vascular Malformations / Q000150:complications* / Q000000981:diagnostic imaging; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging