title: Concomitant aortic and vena caval reconstruction associated with germ-cell tumor resection with creation of a new venous bifurcation.
abstract: Aortic and vena caval reconstruction associated with tumor resection is very rare. We describe a 22-year-old man with a retroperitoneal metastasis from a germ-cell tumor previously treated with chemotherapy who presented with a huge mass involving the infrarenal aorta and the inferior vena cava. He underwent retroperitoneal lymph node dissection with concomitant aortic and caval reconstruction that included customization of a new caval bifurcation. His postoperative recovery was uneventful, and he remained well 36 months after the operation. Complementary follow-up imaging examinations demonstrated that the aortic and venous interposition grafts were patent and that there was no local or distant disease recurrence.
authors.affiliation: Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nishinari
authors.affiliation: Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil. Electronic address: valentimluisa@gmail.com.
authors.forename: Luisa Assis
authors.initials: LA
authors.lastname: Valentim
authors.affiliation: Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Yazbek
authors.affiliation: Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil.
authors.forename: Guilherme Andre
authors.initials: GA
authors.lastname: Zottele Bomfim
authors.affiliation: Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil.
authors.forename: Thiago Mattiazzo
authors.initials: TM
authors.lastname: Vieria Castro
authors.affiliation: Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil.
authors.forename: Nelson
authors.initials: N
authors.lastname: Wolosker