Inferior vena cava reconstruction using fresh inferior vena cava allograft following caval resection for leiomyosarcoma: midterm results.
We present a 56-year-old woman affected by a large leiomyosarcoma originating from the suprarenal inferior vena cava (IVC). A computed tomography (CT) scan revealed near obstruction of the IVC and involvement of the right renal vein. The patient underwent successful en bloc resection of the tumor, right kidney, right adrenal gland, and IVC. Caval reconstruction was performed using a non-type specific allograft, followed by left renal vein re-implantation. The patient tolerated the procedure well without any complications. The use of an IVC allograft allowed for continued graft patency, without the need of immunosuppression or long-term anticoagulation. However, local recurrence did occur.
Guerrero
Marlon A
MA
Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Hospital, 2002 Holcomb Boulevard, Houston, TX 77030, USA.
Cross
Chadrick A
CA
Lin
Peter H
PH
Keane
Thomas E
TE
Lumsden
Alan B
AB
D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D010690:Phlebography; D012082:Renal Veins / Q000601:surgery; D012092:Replantation; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014654:Vascular Patency; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000473:pathology / Q000503:physiopathology / Q000637:transplantation*