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Lateral vena caval displacement without caval obstruction occurs in a great majority of patients with expanding abdominal aortic aneurysms. In the patient described in this report, caval displacement was prevented by preexisting dense fibrous adhesions which may have resulted from previous aneurysmal leaks. Symptomatic vena caval obstruction occurred between the expanding aneurysm and the lateral adhesions. To our knowledge, this represents the first angiographically proved case of vena caval obstruction caused by aortic aneurysmal expansion.
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Accepted: February 11, 1974
© 1974 Published by Elsevier Inc.