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

S A Pierre; M T Jaeger; D R Siemens

doi:10.1007/s00345-005-0009-3

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

World J Urol. 2006 Feb;24(1):110-2. doi: 10.1007/s00345-005-0009-3. Epub 2006 Jan 25.

Authors

S A Pierre¹, M T Jaeger, D R Siemens

Affiliation

¹ Department of Urology, Kingston General Hospital, Empire 4 76 Stuart Street, Kingston, ON K7L 2V7, Canada.

PMID: 16435147
DOI: 10.1007/s00345-005-0009-3

Abstract

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.

Publication types

Case Reports

MeSH terms

Adult
Disease Progression
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*
Male
Nephrectomy / adverse effects*
Nephrectomy / methods
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