Use of a pericardial xenograft patch in repair of resected retrohepatic vena cava.
Complete surgical excision of malignant tissue is mandatory for the long-term survival of patients with hepatic metastases from colorectal carcinoma. Involvement of the inferior vena cava (IVC) may prevent this resection. The authors describe the case of a 64-year-old man who underwent right hepatic lobectomy for metastases from colorectal carcinoma. Partial involvement of the IVC by tumour necessitated resection of a large portion of its wall. Venous continuity was re-established with a large bovine pericardial patch. At follow-up 2 years after the repair, the IVC was still patent and the vessel diameter was normal. On enhanced computed tomography, the patch was indistinguishable from the native vessel.
Del Campo
C
C
Division of Vascular Surgery, Camp Hill Medical Centre, Halifax, NS.
Konok
G P
GP
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000818:Animals; D002417:Cattle; D003110:Colonic Neoplasms / Q000473:pathology; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D014183:Transplantation, Heterologous; D014682:Vena Cava, Inferior / Q000601:surgery*