Graft replacement of pararenal inferior vena cava for leiomyosarcoma with the use of venous bypass.
Total replacement of the inferior vena cava across the renal vein confluence was successfully performed under venovenous bypass in a patient with primary leiomyosarcoma of the inferior vena cava. Concomitant resection of metastases by right nephrectomy, partial hepatectomy, and cholecystectomy allowed recurrence-free survival for the past 20 months. To the best of our knowledge, this is the first report of successful replacement of the inferior vena cava for a primary tumor.
Yanaga
K
K
Department of Surgery II, Kyushu University Faculty of Medicine, Fukuoka, Japan.
Okadome
K
K
Ito
H
H
Matsumata
T
T
Makino
T
T
Okamura
H
H
Sugimachi
K
K
D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000601:surgery*; D008875:Middle Aged; D012082:Renal Veins / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D014652:Vascular Diseases / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods; D014682:Vena Cava, Inferior / Q000601:surgery*