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Case Reports in Medicine
Volume 2009, Article ID 827954, 3 pages
http://dx.doi.org/10.1155/2009/827954
Case Report

Occlusion of Inferior Vena Cava: A Singular Presentation of Abdominal Aortic Aneurysm

1Angiology and Vascular Surgery Department, Vila Nova de Gaia/Espinho Hospital Center, 4434-502 Vila Nova de Gaia, Portugal
2Angiology and Vascular Surgery Department, Alto Ave Hospital Center, 4835-044 Guimarães, Portugal

Received 24 June 2009; Accepted 14 October 2009

Academic Editor: Omer Faruk Dogan

Copyright © 2009 Daniel Brandão et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Even though the majority of abdominal aortic aneurysm s(AAAs) are asymptomatic, they can occasionally manifest as a result of adjacent structures involvement. Although the most frequent venous complication of AAA is rupture into the inferior vena cava (IVC), venous compression can infrequently occur. The authors report a particularly rare case of compression and thrombosis of the IVC by AAA. Patient was treated by preoperative placement of an IVC filter to impede pulmonary embolism and subsequently by open surgical repair. Besides discussing the circumstances associated with IVC compression by AAA, the authors also discuss the treatment strategy adopted and the possible alternatives.