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Preaortic iliac confluence: A rare anomaly of the inferior vena cava

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Presentation on theme: "Preaortic iliac confluence: A rare anomaly of the inferior vena cava"— Presentation transcript:

1 Preaortic iliac confluence: A rare anomaly of the inferior vena cava
Gerhard Ruemenapf, MD, Holger Rupprecht, MD, Hans Schweiger, MD  Journal of Vascular Surgery  Volume 27, Issue 4, Pages (April 1998) DOI: /S (98) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1Preaortic iliac confluence with an anterior left common iliac vein in a 70-year-old patient (case 1) is seen during an operation for an infrarenal abdominal aortic aneurysm after dissection of the left anterior common iliac vein from the anterior circumference of the aortic aneurysm and the aortic bifurcation. Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2Intraoperative situation after exclusion of the infrarenal aortic aneurysm and placement of a 16-mm Dacron tube graft (case 1). Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3(see p. 769)Variations of preaortic iliac confluence
Fig. 3(see p. 769)Variations of preaortic iliac confluence. A, In case 1, the left common iliac vein passed anterior to the aortic bifurcation, and the right common iliac vein followed a posterior course along the right common iliac artery. B, In case 2, the left common iliac vein passed anterior to the aortic bifurcation, and the right common iliac vein followed an anterior course along the right common iliac artery. C, The inferior vena cava is anterior to the aortic bifurcation, and the common iliac veins are behind the respective common iliac arteries. (C from Gladstone RJ. Development of the inferior vena cava in the light of recent research, with especial reference to certain abnormalities, and current descriptions of the ascending lumbar and azygos veins. J Anat 1929;64:70-93.) Journal of Vascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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