title: Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava.
abstract: We report the case of delayed reconstruction of an iatrogenically transected inferior vena cava (IVC). A 47-year-old male underwent a laparoscopic right nephrectomy complicated by an unrecognized IVC transection. Postoperatively, he developed severe lower extremity edema, abdominal distension, and discomfort, prompting further investigation. A computed tomography scan showed a staple line extending across the IVC with thrombus extending distally to the level of the left renal vein. Repair of the suprarenal portion of the IVC was undertaken using a cryopreserved femoral vein allograft. The patient demonstrated clinical improvement with follow-up imaging demonstrating graft patency at 15 months.
authors.affiliation: Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY.
authors.forename: Karan
authors.initials: K
authors.lastname: Garg
authors.affiliation: Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Riegel
authors.affiliation: Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY.
authors.forename: Brittny H
authors.initials: BH
authors.lastname: Williams
authors.affiliation: Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY. Electronic address: glenn.jacobowitz@nyumc.org.
authors.forename: Glenn R
authors.initials: GR
authors.lastname: Jacobowitz