[Prosthetic replacement of the inferior vena cava. Current controversies].
A ringed polytetrafluoroethylene (PTFE) graft is currently the most widely used replacement for the inferior vena cava, although clinical studies comparing this technique with non-ringed prostheses are lacking. There is no consensus on the need to use an anticoagulant or associate a temporary distal arteriovenous fistula to increase venous flow. At present, the best therapeutic strategy cannot be determined. We present a case of retroperitoneal sarcoma infiltrating the infrarenal vena cava, right colon and ureter that was surgically treated in our hospital. En bloc resection was performed and the vena cava was reconstructed using a non-ringed PTFE graft associated with systemic anticoagulation.
Manzanet
Gerardo
G
Servicio de Cirugía General, Hospital de La Plana, Vila-Real, Castellón, España. manzanet_ger@gva.es
Morón
Ramón
R
Suelves
Consuelo
C
Calderón
Rogelio
R
Corell
Ricardo
R
Castell
Lucas
L
Trías
Asumpta
A
Todolí
Gonzalo
G
Navarro
Jorge
J
Peiró
Eduardo
E
Clarós
Antonio
A
D000328:Adult; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D012186:Retroperitoneal Neoplasms / Q000601:surgery; D012509:Sarcoma / Q000601:surgery; D014682:Vena Cava, Inferior / Q000601:surgery*
D011138:Polytetrafluoroethylene