Case Reports in Medicine (Jan 2009)

Occlusion of Inferior Vena Cava: A Singular Presentation of Abdominal Aortic Aneurysm

  • Daniel Brandão,
  • João Correia Simões,
  • Alexandra Canedo,
  • Miguel Maia,
  • Joana Ferreira,
  • Sandrina Braga,
  • João Vasconcelos,
  • Guedes Vaz

DOI
https://doi.org/10.1155/2009/827954
Journal volume & issue
Vol. 2009

Abstract

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Even though the majority of abdominal aortic aneurysm s(AAAs) are asymptomatic, they can occasionally manifest as a result of adjacent structures involvement. Although the most frequent venous complication of AAA is rupture into the inferior vena cava (IVC), venous compression can infrequently occur. The authors report a particularly rare case of compression and thrombosis of the IVC by AAA. Patient was treated by preoperative placement of an IVC filter to impede pulmonary embolism and subsequently by open surgical repair. Besides discussing the circumstances associated with IVC compression by AAA, the authors also discuss the treatment strategy adopted and the possible alternatives.