Abstract
Retroaortic left renal vein is rare but life-threatening in abdominal aortic surgery. The risk of venous injury is especially high during surgery for a ruptured Abdominal Aortic Aneurysm (AAA). We report a case of ruptured AAA in an 84-year-old woman. Careful evaluation of the preoperative contrast-enhanced Computed Tomography (CT) images showed a retroaortic left renal vein and triple left renal arteries. The patient underwent successful surgical repair. Even in cases of ruptured AAA, preoperative contrast-enhanced CT should be performed to search for venous and arterial anomalies and reduce the risk of fatal bleeding when vital condition is not critical.
Highlights
The surgical management of Abdominal Aortic Aneurysms (AAAs) is well established, and the most challenging intraoperative complication of this procedure is venous bleeding
We report a case of ruptured AAA in an 84-year-old woman
We report a case of ruptured AAA associated with an Retroaortic Left Renal Vein (RLRV), in which accurate preoperative diagnosis was obtained by evaluation of contrast-enhanced Computed Tomography (CT) images
Summary
Ruptured Abdominal Aortic Aneurysm in A Patient with A Retroaortic Left Renal Vein. Takeshi Oda*, Yasuyuki Zaima, Hayato Fukuda, Shinichi Imai, Eiji Nakamura, Hiroshi Yasunaga and Shigeaki Aoyagi. Received date: Oct 12, 2014, Accepted date: Nov 16, 2014, Publication date: Nov 26, 2014
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