Intra-operative inferior vena cava syndrome in a patient with autosomal dominant polycystic kidney disease

The renal and hepatic cysts characteristic of autosomal dominant polycystic kidney disease can exert a mass effect on surrounding structures. If this involves the inferior vena cava (IVC), patients usually present with signs and symptoms characteristic of congestive heart failure. However, the absen...

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Veröffentlicht in:World journal of urology 2006-02, Vol.24 (1), p.110-112
Hauptverfasser: PIERRE, S. A, JAEGER, M. T, SIEMENS, D. R
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SIEMENS, D. R
description The renal and hepatic cysts characteristic of autosomal dominant polycystic kidney disease can exert a mass effect on surrounding structures. If this involves the inferior vena cava (IVC), patients usually present with signs and symptoms characteristic of congestive heart failure. However, the absence of these signs or symptoms does not exclude a potentially hemodynamically significant IVC syndrome. This case report describes a patient with no pre-operative evidence of congestive heart failure or IVC compression, who subsequently experienced intra-operative hypotension and hypoxemia due to an IVC syndrome.
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subjects Adult
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Disease Progression
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Echocardiography, Transesophageal
Follow-Up Studies
Hemodynamics - physiology
Humans
Hypertension - complications
Hypertension - diagnosis
Intraoperative Complications - diagnosis
Intraoperative Complications - therapy
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - surgery
Kidneys
Male
Malformations of the urinary system
Medical sciences
Nephrectomy - adverse effects
Nephrectomy - methods
Nephrology. Urinary tract diseases
Polycystic Kidney, Autosomal Dominant - complications
Polycystic Kidney, Autosomal Dominant - diagnosis
Preoperative Care
Risk Assessment
Syndrome
Tomography, X-Ray Computed
Treatment Outcome
Vena Cava, Inferior
Venous Thrombosis - diagnosis
Venous Thrombosis - therapy
title Intra-operative inferior vena cava syndrome in a patient with autosomal dominant polycystic kidney disease
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