Perler B A
Department of Surgery, Johns Hopkins Hospital, Baltimore, Maryland.
J Cardiovasc Surg (Torino). 1989 Mar-Apr;30(2):236-40.
An unsuspected left-sided inferior vena cava (IVC) can present a formidable challenge for the surgeon attempting aortic reconstructive surgery. A 73-year-old man with aorto-iliac occlusive disease and a 64-year-old man with a seven centimeter (cm) abdominal aortic aneurysm (AAA) each underwent an aorto-femoral bypass graft in the setting of a left-sided cava. In the former case the conventional transperitoneal approach was utilized and in the latter case the extended left retroperitoneal incision was employed. The technical details required in performing these procedures and the developmental anatomy of this and other major venous anomalies are discussed.
未被怀疑的左侧下腔静脉（IVC）对于试图进行主动脉重建手术的外科医生来说可能是一个巨大的挑战。一名患有主-髂动脉闭塞性疾病的73岁男性和一名患有7厘米腹主动脉瘤（AAA）的64岁男性，在存在左侧下腔静脉的情况下均接受了主-股动脉旁路移植术。在前一种情况下采用了传统的经腹途径，在后一种情况下采用了扩大的左腹膜后切口。本文讨论了进行这些手术所需的技术细节以及这种和其他主要静脉异常的发育解剖学。
