COLLATERAL BLOOD FLOW IN THE RETROPERITONEUM IN DYSPLASIA OF THE INFERIOR VENA CAVA
https://doi.org/10.51523/2708-6011.2013-10-4-16
Abstract
Objective: to study the topography of blood flow redistribution in dysplasias of the inferior vena cava (aplasia and hypoplasia) and to determine the dependence of the collateral development stage on a level and duration of occlusion. Material and methods: 24 patients with congenital pathology of the inferior vena cava (aplasia and hypoplasia) were enrolled in the study. The contrast enhanced computer tomography was analyzed in dysplasias of the inferior vena cava and the dependence of the collateral development on the level and duration of occlusion was studied. Conclusion. Two variants of the main collateral pathways of the retroperitoneum were singled out: the former with prior role of the ascending lumbar veins in patients with occlusion of the suprarenal section, total and subtotal aplasia of the postcava, the latter in the occlusion of the infrarenal section of the postcava, when the main ways of collateral outflow are left gonand-renal venous system with ascending lumbar veins.
About the Authors
E. A. Kliuy
Belarusian State Medical University, Minsk
Belarus
Belarus
S. N. Tikhon
Municipal Clinical Polyclinic No.5, Minsk
Belarus
Belarus
V. M. Dechko
Belarusian State Medical University, Minsk
Belarus
Belarus
E. V. Kryzhova
Belarusian State Medical University, Minsk
Belarus
Belarus
V. F. Vartanian
Belarusian State Medical University, Minsk
Belarus
Belarus
K. M. Kovalevich
Belarusian State Medical University, Minsk
Belarus
Belarus
Ya. O. Kuznetsov
Municipal Clinical Polyclinic No.5, Minsk
Belarus
Belarus
References
1. Симптоматика и диагностика дисплазии нижней полой вены / А. А. Баешко [и др.]. - Ангиология и сосудистая хирургия. - 2013. - № 3. - С. 84-91.
2. Рентгенанатомия системы непарной вены / Е. А. Клюй [и др.] // Актуальные вопросы оперативной хирургии и клинической анатомии: материалы научно-практической конференции, посвященной 50-летию кафедры оперативной хирургии и топографической анатомии ГрГМУ. - 2011. - С. 110-112.
3. Bronshtein, M. Prenatal diagnosis and outcome of isolated interrupted inferior vena cava / M. Bronshtein, N. Khatib, Z. Blumenfeld // Am. J. Obstet. Gynecol. - 2010. - Vol. 202. - P. 398.
4. Cavoportal collateral pathways in vena cava obstruction: imaging features / Herve Dahan [et al.] // American Roentgen Ray Society AJR. - 1998. - Vol. 171. - P. 1405-1410.
5. Congenital absence of the inferior vena cava: a rare risk factor for idiopathic deep vein thrombosis / M. Ruggeri [et al.] // Lancet. - 2001. - Vol. 357. - P. 1711.
6. Le, Blanche. Congenital anomaly of the inferior vena cava with hemiazygos continuation. Ultrasonic diagnosis / Le Blanche, P. Bouillet, S. Gaillard // Service de Radiologie, Ann Radiol (Paris). - 1990. - Vol. 33(6). - P. 339-346.
7. Is the inferior vena cava dispensable? / V. S. Jones [et al.] // Pediatr Surg Int. - 2007. - Vol. 23. - P. 885-888.
8. Obstruction of the inferior vena cava: a multiple - modality demonstration of causes, manifestations, and collateral pathways / A. H. Sonin [et al.] // RadioGraphics. - 1992. - Vol. 12. - P. 309-322.
9. The lumbar vein at L2 and the reno - azigo - lumbar arch: anatomic and radiologic studies / Plaisant O [et al.] // Morphologie. - 1999. - Vol. 83(260). - Р. 75-81.
10. Where there is blood, there is a way: unusual collateral vessels in superior and inferior vena cava obstruction / S. Kapur [et al.] // RadioGraphics. - 2010. - Vol. 30. - P. 67-78.
Review
For citations:
Kliuy E.A., Tikhon S.N., Dechko V.M., Kryzhova E.V., Vartanian V.F., Kovalevich K.M., Kuznetsov Ya.O. COLLATERAL BLOOD FLOW IN THE RETROPERITONEUM IN DYSPLASIA OF THE INFERIOR VENA CAVA. Health and Ecology Issues. 2013;(4):88-91. (In Russ.) https://doi.org/10.51523/2708-6011.2013-10-4-16
Views: 284
Email this article 