Symptomatic congenital saccular aneurysm of the inferior vena cava associated with a circumaortic left renal vein Elrasheed Osman, FRCSI, George Oreopoulos,

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Presentation transcript:

Symptomatic congenital saccular aneurysm of the inferior vena cava associated with a circumaortic left renal vein Elrasheed Osman, FRCSI, George Oreopoulos, FRCSC, Jagdish Butany, FRCPC, Leonard Tse, FRCSC Journal of Vascular Surgery Cases Volume 1, Issue 1, Pages 9-12 (March 2015) DOI: 10.1016/j.jvsc.2014.09.003 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Abdominal ultrasound (A) B-mode imaging and (B) color-flow imaging demonstrates a vascular structure anterior to the aorta and inferior vena cava (IVC). C, Duplex demonstrates a “ying-yang” appearance on Doppler flow. The single arrow points to the IVC, and the double arrows point to the IVC aneurysm (IVCA). Journal of Vascular Surgery Cases 2015 1, 9-12DOI: (10.1016/j.jvsc.2014.09.003) Copyright © 2015 The Authors Terms and Conditions

Fig 2 Abdominal computed tomography (CT) scan (venous phase) in (A) axial and (B) coronal views demonstrates a saccular inferior vena cava (IVC) aneurysm (IVCA). The single arrow points to the IVC and the double arrow points to the IVCA. The images show (C) the circumaortic left renal vein (CLRV) between the two single arrows and (D) a sagittal section of the thoracoabdominal aorta with no dissection. Journal of Vascular Surgery Cases 2015 1, 9-12DOI: (10.1016/j.jvsc.2014.09.003) Copyright © 2015 The Authors Terms and Conditions

Fig 3 Operative photograph of the midline laparotomy with a self-retaining retractor shows large saccular aneurysm of the inferior vena cava (IVC). The single arrow points to the IVC, and the double arrow points to the IVC aneurysm (IVCA). Journal of Vascular Surgery Cases 2015 1, 9-12DOI: (10.1016/j.jvsc.2014.09.003) Copyright © 2015 The Authors Terms and Conditions