Bartle E J, Pearce W H, Sun J H, Rutherford R B
University of Colorado Health Sciences Center, Denver 80262.
J Vasc Surg. 1987 Dec;6(6):590-3. doi: 10.1067/mva.1987.avs0060590.
Anomalies of the left renal vein (retroaortic left renal vein and left renal vein collar) and the inferior vena cava (left-sided inferior vena cava and caval duplication) occur relatively infrequently but pose potential hazards to the surgeon during aortic repair. We report the cases of three patients in which one or a combination of these anomalies of the renal vein and inferior vena cava was present. The embryologic origins of each of the anomalies are discussed, and suggestions, both surgical and nonsurgical, are proposed that might aid the surgeon in avoiding injury and subsequent bleeding from these anomalous structures during surgical operations on the abdominal aorta.
左肾静脉异常（主动脉后左肾静脉和左肾静脉环）以及下腔静脉异常（左侧下腔静脉和下腔静脉重复畸形）相对少见，但在主动脉修复手术中会给外科医生带来潜在风险。我们报告了3例患者的病例，这些患者存在一种或多种上述肾静脉和下腔静脉异常情况。文中讨论了每种异常的胚胎学起源，并提出了手术和非手术方面的建议，这些建议可能有助于外科医生在腹主动脉手术中避免损伤这些异常结构并防止随后出血。
