J.Jpn. Surg. Soc.. 90(1): 141-144, 1989
Case report
A RIGHT COMMON ILIAC ANEURYSM PERFORATING INTO THE INFERIOR VENA CAVA WITH RESULTANT CONGESTIVE HEART FAILURE
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The 3rd Department of Surgery, Nara Medical College, Kashihara, Japan Kiyoshi Inoue, Soichiro Kitamura, Choken Oyama, Kanji Kawachi, Ryuichi Morita, Tsutomu Nishii, Yoichi Kameda |
At operation, the fistula of 15mm diameter was closed with interrupted sutures of 3－0 nylon with pledgets within the aneurysm by controlling bleeding from the fistula by digital compression. The right common iliac aneurysm was resected and replaced with a double velour knitted dacron graft of 10mm diameter.
The postoperative course was uneventful. The CTR was reduced to 57％ from 70％, and the cardiac index was normalized from 6.10 to 3.39 l/min/m2. This complication is rare with only 4 previous reports in Japan. Hemodynamic improvements were dramatic after surgery in spite of poor response to medical treatments. This complication should be surgically managed as soon as the diagnosis is confirmed.
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