Reconstruction of the vein of Labbé by using a short saphenous vein bypass graft. Technical note.
Protection of the vein of Labbé is a significant concern during surgery that involves retraction of the temporal lobe. A cranial base surgical approach, especially one via the presigmoid-petrosal route, carries considerable risk to this venous complex. A case is presented in which a large dominant vein of Labbé was injured during resection of a petroclival meningioma. This vein drained all the sylvian venous circulation as well as the lateral temporal surface; no connection to another venous system was noted. The vein was successfully reconstructed using a short saphenous vein bypass graft. Significant complications could have occurred without this reconstruction. The technique and benefits of this type of reconstruction are discussed.
Morita
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A
Department of Neurosurgery, The George Washington University Medical Center, Washington, DC 20037, USA.
Sekhar
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LN
D000714:Anastomosis, Surgical; D002550:Cerebral Veins / Q000293:injuries / Q000601:surgery*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008416:Mastoid / Q000601:surgery; D008577:Meningeal Neoplasms / Q000601:surgery / Q000628:therapy; D008579:Meningioma / Q000601:surgery / Q000628:therapy; D008875:Middle Aged; D010579:Petrous Bone / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation*; D019291:Skull Base / Q000601:surgery; D013702:Temporal Lobe / Q000098:blood supply*; D014654:Vascular Patency