Adrenal venous sampling in a patient with left inferior vena cava

Fujii, Yukihiko; Ueda, Tomohiro; Uchimura, Yuko; Teragawa, Hiroki

doi:10.1002/ccr3.875

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…Similarly, variants of venous anatomy can complicate AVS during the evaluation of PA. Fujii et al reported a case where AVS was performed in a patient with PA and a left IVC whose left adrenal vein drained directly into the IVC 9. Ford et al presented a case of a rare variant of the left adrenal vein, in which the left gonadal vein drained into the left adrenal vein after taking an atypical course superolateral to the left kidney 10.…”

Section: Discussionmentioning

confidence: 99%

Duplicate inferior vena cava complicating the evaluation of primary aldosteronism

et al. 2021

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A 64-year-old man with a known duplicate inferior vena cava (D-IVC) and resistant hypertension presented to our emergency department in a hypertensive crisis. He had a longstanding history of hypertension and unexplained hypokalemia treated with oral potassium supplementation. The patient was diagnosed with primary aldosteronism and MRI of the abdomen revealed a left-sided adrenal adenoma. Adrenal venous sampling (AVS) lateralised aldosterone hypersecretion to the left adrenal gland. The patient subsequently underwent an uncomplicated laparoscopic left adrenalectomy. The patient’s postoperative course was uneventful, and he was discharged on a single antihypertensive medication on postoperative day 1. D-IVC is one of several rare IVC anatomical variants that have been well described in the literature. Knowledge of this patient’s unique abdominal venous anatomy enabled successful AVS and appropriate surgical management. It is necessary to identify potential anatomical variants of abdominal venous anatomy that may complicate these invasive procedures.

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Section: Discussionmentioning

confidence: 99%