title: Primary inferior vena cava leiomyosarcoma: reconstruction is not mandatory.
abstract: Computed tomography in an 81-year-old woman revealed obstruction of the inferior vena cava by a large primary vascular leiomyosarcoma, and involvement of the right renal vein. She underwent successful en-bloc resection of the tumor, right kidney, hepatic segments IV and VI, and inferior vena cava, without caval reconstruction. A renal vein-to-remaining infrahepatic inferior vena cava saphenous vein graft bypass was performed for left renal venous drainage. The need for vascular reconstruction is not always mandatory.
authors.affiliation: Cardiovascular Surgery Department, Virgen Macarena University Hospital, UGC Heart Area, Seville, Spain. erodriguezcaulo@hotmail.com
authors.forename: Emiliano A
authors.initials: EA
authors.lastname: Rodríguez-Caulo
authors.forename: Carlos
authors.initials: C
authors.lastname: Velázquez
authors.forename: Bella
authors.initials: B
authors.lastname: Ramírez
authors.forename: José M
authors.initials: JM
authors.lastname: Barquero
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000601:surgery*; D019043:Vascular Neoplasms / Q000601:surgery*; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000601:surgery*