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Retroaortic Left Renal Vein and Its Implications in Abdominal Aortic Surgery

Retroaortic Left Renal Vein and Its Implications in Abdominal Aortic Surgery Retroaortic Left Renal Vein and Its Implications in Abdominal Aortic Surgery 1,2 1 2 Christos D. Karkos MD, FRCS Ed Iain A. Bruce, MB, ChB, George J.L. Thomson, FRCS, and Mark E. Lambert, FRCS, Preston, UK The embryological development of the retroperitoneal venous system is a complex process. As a result, the anatomy of the inferior vena cava (IVC) and renal veins shows extensive variability. Improper completion of this process may lead to six anatomical variants: retroaortic left renal vein (LRV) types I and II, circumaortic venous collar, duplication of the IVC, transposition or left-sided IVC, and preaortic iliac confluence. All six are infrequent, but may be encountered during abdominal aortic reconstruction and pose challenging problems to the operating surgeon. Failure to appreciate these anomalies can lead to inadvertent injury and major venous bleeding. Preoperative diagnosis can be made on a CT scan, but this is not always performed prior to aortic surgery. In this report, we analyze two cases of retroaortic LRV complicating abdominal aortic aneurysmectomy, describe the most common infrarenal venous anomalies encountered during aortic surgery, and briefly review the literature. In the 48 years since Charles Dubost reported the vein (LRV) complicating AAA repair and describe http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Retroaortic Left Renal Vein and Its Implications in Abdominal Aortic Surgery

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References (18)

Publisher
Springer Journals
Copyright
Copyright © 2001 by Annals of Vascular Surgery Inc
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s10016-001-0022-y
pmid
11769156
Publisher site
See Article on Publisher Site

Abstract

Retroaortic Left Renal Vein and Its Implications in Abdominal Aortic Surgery 1,2 1 2 Christos D. Karkos MD, FRCS Ed Iain A. Bruce, MB, ChB, George J.L. Thomson, FRCS, and Mark E. Lambert, FRCS, Preston, UK The embryological development of the retroperitoneal venous system is a complex process. As a result, the anatomy of the inferior vena cava (IVC) and renal veins shows extensive variability. Improper completion of this process may lead to six anatomical variants: retroaortic left renal vein (LRV) types I and II, circumaortic venous collar, duplication of the IVC, transposition or left-sided IVC, and preaortic iliac confluence. All six are infrequent, but may be encountered during abdominal aortic reconstruction and pose challenging problems to the operating surgeon. Failure to appreciate these anomalies can lead to inadvertent injury and major venous bleeding. Preoperative diagnosis can be made on a CT scan, but this is not always performed prior to aortic surgery. In this report, we analyze two cases of retroaortic LRV complicating abdominal aortic aneurysmectomy, describe the most common infrarenal venous anomalies encountered during aortic surgery, and briefly review the literature. In the 48 years since Charles Dubost reported the vein (LRV) complicating AAA repair and describe

Journal

Annals of Vascular Surgery – Springer Journals

Published: Sep 18, 2001

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