Schiavetta A, Cerruti R, Cantello C, Patrone P
Department of Vascular Surgery, S. Corona Hospital, University of Pavia, School of Vascular Surgery, Pietra Ligure, Savona, Italy.
J Vasc Surg. 1998 Oct;28(4):719-22. doi: 10.1016/s0741-5214(98)70101-6.
A patient with a ruptured abdominal aortic aneurysm underwent an emergency operation. A rare anomaly of inferior vena cava, known as "marsupial cava," was found. The iliac vein confluence crossed anteriorly (rather then posteriorly) the right common iliac artery. Even though the patient had undergone a computed tomography scan, this rare anomaly had not been detected and therefore was unexpected by the surgeon. The aim of this report is to describe the technical details required to perform the aortic reconstruction and to stress the importance of routine computed tomography scans and their careful reading in the case of stable patients before retroperitoneal operation. This is, to our knowledge, the first report of an aortic prosthetic grafting for ruptured aortic aneurysm in association with a marsupial cava.
一名腹主动脉瘤破裂患者接受了急诊手术。术中发现了一种罕见的下腔静脉异常，即“袋状腔静脉”。髂静脉汇合处从前（而非后）方跨过右髂总动脉。尽管患者术前进行了计算机断层扫描，但这种罕见的异常未被检测到，因此外科医生对此毫无预期。本报告旨在描述进行主动脉重建所需的技术细节，并强调在稳定患者进行腹膜后手术前，常规计算机断层扫描及其仔细解读的重要性。据我们所知，这是首例关于腹主动脉瘤破裂合并袋状腔静脉行主动脉人工血管移植术的报告。
