Document Detail

Iliocaval venous compression due to aneurysm of the abdominal aorta: report of ten cases.
MedLine Citation:
PMID:  2297469     Owner:  NLM     Status:  MEDLINE    
Ten patients with symptomatic venous compression secondary to aneurysm of the infrarenal abdominal aorta are reported. Compression was responsible for edema of the lower extremities in seven cases, and, in three instances, for venous thromboembolic disease. The incidence of venous complications secondary to aneurysm (8.8% in our series) is close to that of urologic complications (10%), but their respective pathogeneses are different. Mechanical compression (nine patients) was the predominant mechanism and was due to retroperitoneal hematoma (two patients) and left-sided (three patients) or right-sided (four patients) development of the aneurysm. Noninvasive imaging, including computed tomographic scan and sonography, have replaced the more conventional invasive methods of diagnosis. The large diameter of the aneurysms generally found in these cases mandates rapid surgical treatment in order to avoid rupture and aortocaval fistula. Because of venous collateral circulation, caution must be exercised when working on the left side of the aorta above the aneurysm and at the level of the iliac vessels. Treatment consists of the inclusion prosthetic replacement. The insertion of a Greenfield filter is needed only when pulmonary embolism occurs or in the case of recent or life-threatening caval thrombosis.
J Combe; J Besancenot; P Milleret; G Camelot
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  4     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-03-06     Completed Date:  1990-03-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  20-5     Citation Subset:  IM    
Service de Chirurgie Vasculaire, Hôpital Jean Mingoz, Besançon, France.
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MeSH Terms
Aorta, Abdominal
Aortic Aneurysm / complications*,  diagnosis
Aortic Rupture / complications*,  diagnosis
Constriction, Pathologic / etiology,  radiography
Hemoperitoneum / diagnosis,  etiology
Iliac Vein*
Middle Aged
Rupture, Spontaneous
Thrombosis / etiology*,  radiography
Vena Cava, Inferior*

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