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Occlusion of inferior vena cava: a singular presentation of abdominal aortic aneurysm. 2009

Daniel Brandão, and João Correia Simões, and Alexandra Canedo, and Miguel Maia, and Joana Ferreira, and Sandrina Braga, and João Vasconcelos, and Guedes Vaz
Angiology and Vascular Surgery Department, Vila Nova de Gaia/Espinho Hospital Center, 4434-502 Vila Nova de Gaia, Portugal.

Even though the majority of abdominal aortic aneurysm s(AAAs) are asymptomatic, they can occasionally manifest as a result of adjacent structures involvement. Although the most frequent venous complication of AAA is rupture into the inferior vena cava (IVC), venous compression can infrequently occur. The authors report a particularly rare case of compression and thrombosis of the IVC by AAA. Patient was treated by preoperative placement of an IVC filter to impede pulmonary embolism and subsequently by open surgical repair. Besides discussing the circumstances associated with IVC compression by AAA, the authors also discuss the treatment strategy adopted and the possible alternatives.

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