title: A novel strategy of vascular reconstruction after radical resection of an inferior vena cava leiomyosarcoma.
abstract: BACKGROUND
  Vascular reconstruction after resection of a inferior vena cava (IVC) leiomyosarcoma remains a major challenge. In this study we describe a case of successful vascular reconstruction using a novel approach.
  
  
  METHODS
  A patient underwent the surgical resection of an IVC tumor. The caudal stump of the IVC was then anastomosed to an 18-mm Dacron graft with bilateral 8-mm arms, which were anastomosed to the bilateral renal veins, respectively.
  
  
  RESULTS
  Complete resolution of abdominal pain was achieved and the patient did well throughout the 12-month follow-up. No recurrent clinical symptoms were observed. Renal function was well maintained.
  
  
  CONCLUSIONS
  This novel vascular reconstruction approach may be a feasible, effective surgical strategy for preservation of renal function for IVC leiomyosarcoma.
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Liu
authors.forename: Yan
authors.initials: Y
authors.lastname: Sun
authors.forename: Yue
authors.initials: Y
authors.lastname: Jiang
authors.forename: Xiang Yu
authors.initials: XY
authors.lastname: He
authors.forename: Qian Xiang
authors.initials: QX
authors.lastname: Kong
authors.forename: Jun Xue
authors.initials: JX
authors.lastname: Wu
authors.forename: Yi Shi
authors.initials: YS
authors.lastname: Zhang
authors.forename: Xing
authors.initials: X
authors.lastname: Jin
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery*