Retroaortic Left Renal Vein and Its Implications in Abdominal Aortic Surgery

Karkos, Christos D.; Bruce, Iain; Thomson, G. J. L.; Lambert, Mark E.

doi:10.1007/s10016-001-0022-y

Cited by 64 publications

(61 citation statements)

References 11 publications

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“…Circumaortic vein results if there is persistence of the dorsal collar ( Figure 13). The incidence of this anomaly is 1.5% to 16% (34)(35)(36). Care should be taken to avoid misdiagnosis of this condition as retroperitoneal adenopathy (27).…”

Section: Circumaortic Left Renal Veinmentioning

confidence: 99%

Congenital anomalies of the IVC—embryological perspective and clinical relevance

Ghandour¹,

Partovi²,

Karuppasamy³

et al. 2016

Cardiovasc. Diagn. Ther.

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With the increased use of cross-sectional imaging, systemic venous anomalies are more frequently being recognized in asymptomatic patients. Accurate characterization of systemic venous anomalies plays a major role in the appropriate selection of a surgical approach or interventional procedure.In this article, we review common and uncommon inferior vena cava (IVC) anomalies. We describe the embryological basis and clinical implications of these anomalies, particularly from an interventional radiology perspective. We also discuss the complications and treatments of these anomalies.

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Section: Circumaortic Left Renal Veinmentioning

confidence: 99%

Congenital anomalies of the IVC—embryological perspective and clinical relevance

Ghandour¹,

Partovi²,

Karuppasamy³

et al. 2016

Cardiovasc. Diagn. Ther.

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“…Probably, several small vessels at retroperotineal space may be injured during abdominal surgery. They are formed as rich collateral circulation compression of both the surrounding inferior vena cava by abdominal aortic aneurysm or atherosclerotic aorta [3]. Most commonly the left inferior vena cava ends as a junction with the left renal vein.…”

Section: Duplication Of the Inferior Vena Cavamentioning

confidence: 99%

“…It seems especially important during an abdominal aortic aneurysm repair. Aortic dissection may be complicated by massive intraoperative bleeding, the most troublesome being venous rather than arterial hemorrhage [3]. Control of this bleeding is very difficult [3,50].…”

Section: Retroaortic Left Renal Veinmentioning

confidence: 99%

“…Aortic dissection may be complicated by massive intraoperative bleeding, the most troublesome being venous rather than arterial hemorrhage [3]. Control of this bleeding is very difficult [3,50]. Brener et al [50] reported that during abdominal aortic reconstruction, approximately 40% of retroaortic left renal veins were injured.…”

Section: Retroaortic Left Renal Veinmentioning

confidence: 99%

“…These anomalies pose potential hazards to surgeons during treatment of abdominal aortic aneurysm. An injury to an unrecognized anomalous vessels can result in severe hemorrhage [3,4]. Especially, injury to veins is responsible for the most unexpected intraoperative bleeding [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Coexistence of the Aortic Aneurysm with the Main Vein Anomalies: Its Potential Clinical Implications and Vascular Complication

Polguj¹,

Stefańczyk²,

Stefańczyk³

2017

Aortic Aneurysm

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Four major variations of the venous system in the retroperitoneal space are the retroaortic left renal vein, left renal vein collar, left-sided inferior vena cava, and caval duplication. During surgery, especially, injury in veins is responsible for the most unexpected intraoperative bleeding. Therefore, above-mentioned anomalies pose potential hazards to surgeons during treatment of abdominal aortic aneurysm. Preoperative diagnosis is highly desirable but is not always available so, during abdominal surgery, familiarity with the anatomy of the most common types of venous variations is the first step toward preventing vascular injury. The chapter includes information describing the demographic, clinical, and morphological characteristics of the presence of the aforementioned main vein anomalies including: gender distribution, frequency in population, the most commonly reported symptoms, and associate complications. Massive intraoperative bleeding may be dangerous during aortic dissection; however, venous bleeding is more complicated than arterial hemorrhage. Significant venous bleeding, in particular, can occur if major retroperitoneal venous anomalies are present. The anomalous veins are typically thinwalled, dilated, and tortuous. As a result, manipulation of these veins during abdominal aortic surgery places the patient at high risk of long-term massive hemorrhage.

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