Endovascular Repair of a Large Abdominal Aortic Aneurysm in a Patient Presenting with Lower Extremity Edema as a Result of Inferior Vena Cava Thrombosis.
OBJECTIVE
Abdominal aortic aneurysm (AAA) can present with symptoms because of aneurysmal compression of adjacent organ systems. This condition has always been treated by open surgical repair. Here, we report a case of an AAA complicated by inferior vena cava (IVC) thrombosis and deep venous thrombosis (DVT) due to IVC compression by aneurysm successfully treated by endovascular aneurysm repair (EVAR).


METHODS
A 50-year-old man was presented with 3-day right lower extremity edema. He was diagnosed with acute DVT and IVC thrombosis initially. Anticoagulation therapy and catheter-directed thrombolysis under the protection of IVC filter were performed. Subsequent imaging revealed a 9.5-cm infrarenal AAA compressing the IVC. The patient was transferred to our hospital and underwent EVAR successfully.


CONCLUSIONS
EVAR is a viable treatment option for patients with an AAA complicated by IVC thrombosis and DVT due to IVC compression by aneurysm.
Department of Vascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China. Electronic address: vasc065linan@gmail.com.
Nan
N
Li
Department of Vascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
Ming
M
Xue
Department of Vascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
Deng-Ke
DK
Hong
Department of Vascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
Xing-Sheng
XS
Chen
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D000072226:Computed Tomography Angiography; D004487:Edema / Q000175:diagnosis / Q000209:etiology*; D057510:Endovascular Procedures; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*