Department of General Surgery, Rutgers New Jersey Medical School, Newark, NJ.
Department of Vascular Surgery, Hackensack University Medical Center, Hackensack, NJ.
J Vasc Surg Venous Lymphat Disord. 2018 Sep;6(5):661-663. doi: 10.1016/j.jvsv.2018.04.008. Epub 2018 Jun 15.
Aneurysms of the inferior vena cava (IVC) are uncommon. Symptomatic patients usually present with thrombosis and venous obstruction. Classification is based on location and the presence or absence of congenital IVC interruption. Treatment options include observation, open surgical resection, and endovascular modalities, of which coil embolization and stent graft placement have previously been described. We report the case of a patient with a 5.0-cm infrarenal IVC aneurysm and associated congenital stenosis who successfully underwent balloon angioplasty. Whereas management should be determined on an individual basis, balloon angioplasty is a plausible treatment for IVC aneurysms in the setting of congenital stenosis.
下腔静脉（IVC）动脉瘤并不常见。有症状的患者通常表现为血栓形成和静脉阻塞。分类基于位置以及是否存在先天性 IVC 中断。治疗选择包括观察、开放手术切除和血管内方式，以前曾描述过线圈栓塞和支架移植术。我们报告了一例 5.0 厘米肾下腔静脉动脉瘤和相关先天性狭窄的患者，成功地进行了球囊血管成形术。虽然应根据个体情况确定治疗方法，但在先天性狭窄的情况下，球囊血管成形术是 IVC 动脉瘤的一种合理治疗方法。
