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Giant Symptomatic Aneurysm of the Inferior Vena Cava
FEA in Asymptomatic, Symptomatic, and Ruptured AAAs
REFERENCES 1 Erhart P, Hyhlik-Dürr A, Geisbüsch P, Kotelis D, MüllerEschner M, Gasser TC, et al. Finite element analysis in asymptomatic, symptomatic and ruptured abdominal aortic aneurysms e in search of new rupture risk predictor. Eur J Vasc Endovasc Surg 2015;49:239e45.
247 2 Larsson E, Labruto F, Gasser TC, Swedenborg J, Hultgren R. Analysis of aortic wall stress and rupture risk in patients with abdominal aortic aneurysm with a gender perspective. J Vasc Surg 2011;54:295e9. 3 Fillinger MF, Marra SP, Raghavan ML, Kennedy FE. Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter. J Vasc Surg 2003;37:724e32.
Eur J Vasc Endovasc Surg (2015) 49, 247
COUP D’OEIL
Giant Symptomatic Aneurysm of the Inferior Vena Cava V. Makaloski *, J. Schmidli Division of Vascular Surgery, Swiss Cardiovascular Center, University Hospital Bern, CH-3010 Bern, Switzerland
This 16-year old girl presented with acute abdominal pain and nausea after a syncope. The emergency computed tomography scan showed a large mass in the right abdomen, as well as perfusion defects in kidneys, spleen, and lungs. No history of blunt abdominal trauma was registered. Emergency surgery reconfirmed the suspected vena cava aneurysm (13 3 11 3 7 cm), which was partially filled with thrombus. After aneurysm resection and reconstruction with a patch-plasty, open pulmonary embolectomy and closure of the patent foramen ovale was performed to prevent further paradoxical embolisation. Histological findings pointed towards a potential congenital vascular malformation.
* Corresponding author. E-mail address: [email protected] (V. Makaloski). 1078-5884/Ó 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2014.09.002
REFERENCES 1 Erhart P, Hyhlik-Dürr A, Geisbüsch P, Kotelis D, MüllerEschner M, Gasser TC, et al. Finite element analysis in asymptomatic, symptomatic and ruptured abdominal aortic aneurysms e in search of new rupture risk predictor. Eur J Vasc Endovasc Surg 2015;49:239e45.
247 2 Larsson E, Labruto F, Gasser TC, Swedenborg J, Hultgren R. Analysis of aortic wall stress and rupture risk in patients with abdominal aortic aneurysm with a gender perspective. J Vasc Surg 2011;54:295e9. 3 Fillinger MF, Marra SP, Raghavan ML, Kennedy FE. Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter. J Vasc Surg 2003;37:724e32.
Eur J Vasc Endovasc Surg (2015) 49, 247
COUP D’OEIL
Giant Symptomatic Aneurysm of the Inferior Vena Cava V. Makaloski *, J. Schmidli Division of Vascular Surgery, Swiss Cardiovascular Center, University Hospital Bern, CH-3010 Bern, Switzerland
This 16-year old girl presented with acute abdominal pain and nausea after a syncope. The emergency computed tomography scan showed a large mass in the right abdomen, as well as perfusion defects in kidneys, spleen, and lungs. No history of blunt abdominal trauma was registered. Emergency surgery reconfirmed the suspected vena cava aneurysm (13 3 11 3 7 cm), which was partially filled with thrombus. After aneurysm resection and reconstruction with a patch-plasty, open pulmonary embolectomy and closure of the patent foramen ovale was performed to prevent further paradoxical embolisation. Histological findings pointed towards a potential congenital vascular malformation.
* Corresponding author. E-mail address: [email protected] (V. Makaloski). 1078-5884/Ó 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2014.09.002