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.
Department of Neurosurgery, The George Washington University Medical Center, Washington, DC 20037, USA.
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Morita
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Sekhar
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