• 제목/요약/키워드: Inferior vena cava

검색결과 140건 처리시간 0.024초

하공정맥 폐색증에 의한 Budd-Chiari 증후군의 수술 치험례 (Dorsal Cavoatrial Bypass for Budd-Chiari Syndrome Associated with Obstruction of the Inferior Vena Cava)

  • 김혁;강정호;지행옥
    • Journal of Chest Surgery
    • /
    • 제21권3호
    • /
    • pp.541-546
    • /
    • 1988
  • A 34-year-old female was seen with Budd-Chiari syndrome caused by an obstruction of the inferior vena cava above the hepatic veins. Transatrial dilation or membranotomy was not available due to severe hourglass constriction of the inferior vena cava. Retrohepatic cavoatrial bypass with a low porosity woven Dacron graft[24mm in the diameter] was performed. For increasing the patency of venous graft, we used anticoagulation with warfarin. Postoperative course was uneventful except pleural effusion of the right luring.

  • PDF

복부 둔상 후에 발생한 광범위한 하대정맥 손상: 증례보고 (Extensive Inferior Vena Cava Injury Following Blunt Abdominal Trauma: A Case Report)

  • 유영선;문성표
    • Journal of Trauma and Injury
    • /
    • 제27권4호
    • /
    • pp.219-223
    • /
    • 2014
  • Traumatic injuries of the inferior vena cava (IVC) are the most challenging lesions in abdominal vascular injuries and are associated with a high mortality rate. Although endovascular treatment has been addressed in the management of vascular trauma, surgery is the mainstay in the treatment for IVC injury as an endovascular technique for the venous system has not been developed. We report a case of successful surgical repair of an extensive IVC laceration following a fall.

하대정맥 손상후 일차봉합술로 인해 발생한 버드-키아리 증후군 환자를 혈관성형술로 치료한 증례보고 (Balloon Angioplasty for Budd-Chiari Syndrome Resulting from Primary Repair of an Inferior Vena Cava Injury)

  • 심주현;원제환;정경원;이국종;김영환
    • Journal of Trauma and Injury
    • /
    • 제27권4호
    • /
    • pp.196-200
    • /
    • 2014
  • Budd-Chiari syndrome is an uncommon condition characterized by hepatic outflow obstruction. Direct suture of the injured Inferior vena cava in a patient with blunt hepatic trauma also may cause an equivalent condition. However, early diagnosis is possible with common symptoms and radiologic evaluation. Moreover, a transluminal approach with balloon angioplasty could prevent long-term complications of Budd-Chiari syndrome without repeated abdominal surgery.

Surgical Treatment for an Invasive Leiomyosarcoma of the Inferior Vena Cava

  • Lee, Hee Moon;Jeong, Dong Seop;Park, Pyo Won;Kim, Wook Sung;Sung, Kiick;Lee, Young Tak
    • Journal of Chest Surgery
    • /
    • 제46권5호
    • /
    • pp.373-376
    • /
    • 2013
  • A 49-year-old woman presented with right lumbar pain and edema in both legs. Computed tomography showed a large low attenuated mass around and in the S7 segment of the liver involving the right kidney and multiple enlarged mesenteric lymph nodes. There were multiple variably sized discrete nodules in both lungs. Cavography showed subtotal occlusion of the inferior vena cava (IVC). She was successfully treated by wide resection and IVC reconstruction with partial cardiopulmonary bypass and metastasectomy.

Multiple renal veins clogging the hilum of the right kidney

  • Satheesha B Nayak;Narendra Pamidi;Vasanthakumar Packirisamy;Soumya Kodimajalu Vasudeva
    • Anatomy and Cell Biology
    • /
    • 제56권1호
    • /
    • pp.141-144
    • /
    • 2023
  • Knowledge of variations of renal vessels is of utmost importance in retroperitoneal surgeries and kidney transplant surgeries. We report concurrent variations of the right renal vessels, observed in an adult male cadaver during dissection classes. The right kidney was supplied by three renal arteries, out of which two entered the kidney through the hilum and the other one entered through the lower pole of the kidney. There were five renal veins, emerging independently from the hilum and opening separately through five openings into the inferior vena cava. Among the veins, only one emerged anterior to the renal pelvis and the other four emerged behind it. Four of them terminated into the posterolateral aspect of the inferior vena cava, whereas one terminated into its anterior aspect. Fourth vein from above, received the right testicular vein. The renal hilum was clogged with the presence of seven vessels and renal pelvis.

상대정맥폐쇄증에 의한 전신.문맥계 단락에 따른 국소성 간열소의 출현 (Scintiangiographic Visualization of Systemic-Portal Venous Shunting as a Cause of "hot Spot" in Superior Vena Cava Obstruction)

  • 박정미;정수교;신경섭;박용휘
    • 대한핵의학회지
    • /
    • 제19권1호
    • /
    • pp.145-148
    • /
    • 1985
  • A small number of pathologic entities such as Budd-Chiari Syndrome, cirrhosis, focal nodular hyperplasia, and superior and inferior vena cava obstruction has been reported to result in focal areas of increased uptake of radiocolloid on the hepatoscintigram. We recently studied a patient with focal accumulation of $^{99m}Tc-phytate$ at the inferior aspect of the liver, at the junction of the right and left lobe. The superior vena cava scintiangiogram was taken for the evaluation of the superior vena cava obstruction and collateral circulations. As a result of superior vena caval obstruction a considerable amount of blood flowed to the liver through the anterior parietal and periumblical venous channels. A certain fraction of radiocolloid delivered by the rete mirabile perfused to a localized area of the liver. This would explain the hot spot around the porta hepatis in this case.

  • PDF

하대정맥의 혈전증을 동반한 인지질항체 증후군의 수술적 치료 - 1예 보고 - (Inferior Vena Cava Thrombectomy in a Patient with Antiphospholipid Syndrome - A case report -)

  • 장재석;권오춘;이섭;김석
    • Journal of Chest Surgery
    • /
    • 제42권3호
    • /
    • pp.371-374
    • /
    • 2009
  • 36세의 여자환자가 복부통증 및 하지부종소견을 주소로 내원하였다. 과거력상 자연유산의 경험이 있고 광과민성, 수관절 통증을 간헐적으로 호소하였으며, 입원당시 시행한 컴퓨터 단층촬영상 하대정맥에 혈전이 관찰되었으며, 혈액검사상 자가항체의 상승이 동반되어 인지질항체 증후군으로 진단되었다. 헤파린 및 이뇨제등의 약물치료를 유지하는 동안 폐동맥색전증이 관찰되어 혈전제거 술을 시행하였으며 현재 환자는 특별한 재발의 소견 없이 항응고요법을 시행하며 외래에서 추적관찰중이다.

Banked Vena Caval Homograft Replacement of the Inferior Vena Cava for Primary Leiomyocsarcoma

  • Lim, Jae Hong;Sohn, Suk Ho;Sung, Yong Won;Moon, Hyeon Jong;Choi, Jae-Sung;Oh, Se Jin
    • Journal of Chest Surgery
    • /
    • 제47권5호
    • /
    • pp.473-477
    • /
    • 2014
  • Primary leiomyosarcoma of the inferior vena cava (IVC) is a rare malignant tumor. Herein, we report the case of a 52-year-old male patient who had postprandial abdominal distension and right upper quadrant abdominal pain. The abdominal computed tomography (CT) angiogram showed an IVC mass extending from the infrahepatic to the suprarenal inferior vena cava. The radiologic findings were suggestive of an IVC leiomyosarcoma. Surgical resection and reconstruction with a cryopreserved homograft were performed. The follow-up abdominal CT angiogram revealed the patient to be disease-free 6 months after surgery with patency of the IVC and renal vein.

Scimitar 징후를 동반한 부분폐정맥환류이상 -1례보고- (Partial Anormalous Pulmonary Venous Return with Scimitar Sign)

  • 권종범
    • Journal of Chest Surgery
    • /
    • 제33권10호
    • /
    • pp.827-829
    • /
    • 2000
  • We experienced a case of partial anomalous pulmonary venous return from righ lung to inferior vena cava, which combined with Scimitar sign in 18 years old female patient. Diagnostic procedures were simple chest x-ray chest CT, and cardiac catheterization. We redirected the anomalous venous flow from inferior vena cava to left atrium through the intracardiac tunnel which was made with autologous pericardium. Postoperative course was not eventful.

  • PDF

Duodenal Perforation Caused by an Inferior Vena Cava Filter

  • Bae, Mi-Ju;Chung, Sung-Woon;Lee, Chung-Won;Kim, Sang-Pil;Song, Seung-Hwan
    • Journal of Chest Surgery
    • /
    • 제45권1호
    • /
    • pp.69-71
    • /
    • 2012
  • The inferior vena cava (IVC) filter is known as an effective and safe method for preventing fatal pulmonary thromboembolism in patients with deep vein thrombosis. Usually, the remaining IVC filters are asymptomatic and do not cause clinical problems. We report a case of duodenal perforation caused by a remaining IVC filter.