Dimitriadis Konstantinos, Papatheodorou Nikolaos, Triantafyllou Nikolaos, Parisidis Stavros, Argyriou Christos, Georgiadis George S
Department of Vascular Surgery, University General Hospital of Evros, Democritus University of Thrace, Alexandroupolis, Greece.
Department of Vascular Surgery, University Hospital LMU Munich, Munich, Germany.
Vasc Specialist Int. 2024 Dec 18;40:42. doi: 10.5758/vsi.240087.
Inferior vena cava aneurysms (IVCAs) are rare yet potentially lethal, especially if they are symptomatic or complicated. Among the IVCAs reported in the literature, only a few are associated with congenital vascular anomalies, including congenital IVC obstruction, tetralogy of Fallot, left-sided IVC, duplicated IVC, Ehlers-Danlos syndrome, blue rubber bleb nevus syndrome, and Klipper-Trenaunay syndrome. We present the case of an 8-cm symptomatic saccular IVCA in a patient with tetralogy of Fallot, treated successfully with surgical repair. Although rare venous pathologies can sometimes be managed with endovascular treatment, open surgical reconstruction remains the mainstay of durable and definitive repair.
下腔静脉动脉瘤（IVCAs）虽罕见但有潜在致命性，尤其是出现症状或发生并发症时。在文献报道的IVCAs病例中，仅有少数与先天性血管异常相关，包括先天性下腔静脉梗阻、法洛四联症、左侧下腔静脉、重复下腔静脉、埃勒斯-丹洛斯综合征、蓝色橡皮疱痣综合征和克-特综合征。我们报告1例患有法洛四联症的患者，其出现症状的8厘米囊状IVCA经手术修复成功治疗。尽管罕见的静脉病变有时可通过血管内治疗处理，但开放手术重建仍是持久、确定性修复的主要方法。
