Abstract:
:The left renal vein (LRV) has numerous tributaries including, but not limited to, the inferior phrenic, suprarenal, and gonadal veins. The resultant potential for collateral LRV outflow through these tributaries in instances of LRV division is obvious. One of us has previously reported 10 such cases of LRV division (close to its confluence with the inferior vena cava and without reanastomosis) for the purpose of facilitating proximal abdominal aortic exposure for reconstructive procedures. One of the 10 patients had moderate renal insufficiency at follow-up. We present herein an additional 19 patients who underwent LRV division predominantly for aneurysmal disease of the abdominal aorta. Sixteen patients were available for follow-up. Three patients died in the intraoperative and early postoperative periods. Multivariate analysis of variance of preoperative, postoperative, and follow-up laboratory data--serum creatinine and BUN--showed no significant change in renal function as assessed.
journal_name
Surgeryjournal_title
Surgeryauthors
Dearing PD,James EC,Siegel MB,Swenson WM,Slotnick HB,Schmidt MJsubject
Has Abstractpub_date
1990-01-01 00:00:00pages
105-9issue
1eissn
0039-6060issn
1532-7361journal_volume
107pub_type
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