Enta Yusuke, Tanaka Akiko, Saigan Makoto, Tada Norio, Hata Masaki
Department of Cardiovascular Internal Medicine, Sendai Kousei Hospital, Sendai, Miyagi, Japan.
Department of Cardiovascular Surgery, Sendai Kousei Hospital, Sendai, Miyagi, Japan.
Ann Vasc Dis. 2020 Jun 25;13(2):194-197. doi: 10.3400/avd.cr.20-00028.
Iliac vein compression syndrome (IVCS) can occasionally be iatrogenic; however, iatrogenic IVCS cases occurring because of inappropriate length and positioning of vascular grafts have not been reported. We present the case of an 80-year-old woman with iatrogenic IVCS resulting from kinked and overlapping limbs of a bifurcated abdominal vascular prosthesis for an abdominal aortic aneurysm. She complained of discomfort in her left leg immediately after aortic replacement. Venous stenting was effective for IVCS occurring because of compression of the vascular prosthesis. Iatrogenic IVCS occurred because of inappropriate length and positioning of the vascular graft and was considered a postoperative complication.
髂静脉受压综合征(IVCS)偶尔可能是医源性的;然而,因血管移植物长度和位置不当导致的医源性IVCS病例尚未见报道。我们报告一例80岁女性因腹主动脉瘤的分叉型腹部血管假体扭结和肢体重叠导致医源性IVCS的病例。主动脉置换术后她立即抱怨左腿不适。静脉支架置入术对因血管假体受压引起的IVCS有效。医源性IVCS是由于血管移植物长度和位置不当所致,被认为是一种术后并发症。