Jiménez Gil Roberto, Morant Gimeno Francisco
Servicio de Angiología y Cirugía Vascular, Hospital General Universitario de Alicante 4 degrees planta, edificio A, Avda/Pintor Baeza s/n, 03010 Alicante, Spain.
Interact Cardiovasc Thorac Surg. 2010 Apr;10(4):631-3. doi: 10.1510/icvts.2009.225565. Epub 2010 Jan 15.
Patients with an infrarenal venous anomaly are relatively rare, but are most likely to suffer bleeding from an injury during abdominal aortic surgery. During the last five years, we have performed nine abdominal aortic surgeries with major venous anomalies. There was no severe haemorrhage and actually, after 3-53 months (median 28 months) all the patients have done well. Preoperative assessment and intraoperative awareness are important to prevent unexpected injuries and subsequent excessive bleeding. If the venous anomalies are recognized and treated correctly, serious injuries can be prevented and the outcome should not be affected. In elderly patients, with severe comorbidities or inflammatory aneurysms, an endoprosthesis is preferred.
肾下静脉异常的患者相对少见，但在腹主动脉手术期间最有可能因损伤而出血。在过去五年中，我们进行了9例伴有主要静脉异常的腹主动脉手术。没有发生严重出血，实际上，在3至53个月（中位时间28个月）后，所有患者情况良好。术前评估和术中认知对于预防意外损伤及随后的过度出血很重要。如果静脉异常能够得到正确识别和处理，就可以预防严重损伤，且不影响治疗结果。对于老年患者、伴有严重合并症或炎性动脉瘤的患者，首选血管内假体治疗。
