title: Banked depopulated vena caval homograft: a new strategy to restore caval continuity.
abstract: This study reports one case of primary inferior vena cava (IVC) leiomyosarcoma. A 67-year-old woman was referred to the authors' clinic for evaluation. She presented complaining of epigastric and right upper abdominal quadrant pain. Contrast-enhanced abdominal computed tomography scan revealed a 5.2 × 6.4 cm heterogeneously enhancing mass involving the anteromedial aspect of the IVC, below the renal vein (segment I), deforming the duodenum. There was a partial intraluminal extension in the IVC. Laparotomic resection was performed, with total en bloc excision of the lower IVC tumor. The caval continuity was restored with concomitant interposition of a banked depopulated vena cava homograft. Histological findings showed leiomyosarcoma originating from IVC. The postoperative course was uneventful: Neither recurrence nor metastasis was evident at 4 years postsurgery.
authors: Liver and Multivisceral Transplant Center, Department of General Surgery, University of Modena and Reggio Emilia, Modena, Italy. f.diben@virgilio.it
authors: Fabrizio
authors: F
authors: Di Benedetto
authors: Giuseppe
authors: G
authors: D'Amico
authors: Roberto
authors: R
authors: Montalti
authors: Roberto
authors: R
authors: Ballarin
authors: Giuseppe
authors: G
authors: Tarantino
authors: Annarita
authors: A
authors: Pecchi
authors: Giorgio E
authors: GE
authors: Gerunda
mesh_terms: D000368:Aged; D003287:Contrast Media; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014654:Vascular Patency; D014682:Vena Cava, Inferior
chemical_list: D003287:Contrast Media