This is a report of an iatrogenic inferior vena cava (IVC) segmental resection and reconstruction utilizing bovine pericardium. A 48-year-old female patient presented for a planned right nephrectomy by the urology service secondary to xanthogranulomatous pyelonephritis. This was complicated by inadvertent resection of an 8 cm segment of the infrarenal IVC. Postoperatively, the patient did not tolerate IVC ligation due to severe lower extremity edema. She then underwent reconstruction with a bovine pericardium conduit as an interposition graft. The post-operative course was complicated by pulmonary embolism requiring percutaneous intervention. This report addresses the utility of bovine pericardium for IVC reconstruction in an infected field.
KaraosmanogluADOnurMRUysalAAkataDOzmenMNKarcaaltincabaM. Tumor in the veins: an abdominal perspective with an emphasis on CT and MR imaging. Insights Imaging. 2020;11(1):52.
2.
NesbittJCSolteroERDinneyCP, et al.Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus. Ann Thorac Surg. 1997;63(6):1592–1600.
3.
GotoHHashimotoMAkamatsuD, et al.Surgical resection and inferior vena cava reconstruction for treatment of the malignant tumor: technical success and outcomes. Ann Vasc Dis. 2014;7(2):120–126. doi:10.3400/avd.oa.13-00125
4.
Quinones-BaldrichWAlktaifiAEilberFEilberF. Inferior vena cava resection and reconstruction for retroperitoneal tumor excision. J Vasc Surg. 2012;55(5):1386–1393.
5.
MingoliAFeldhausRJCavallaroA, et al.Leiomyosarcoma of the inferior vena cava: analysis and search of world literature on 141 patients and report of three new cases. J Vasc Surg. 1991;14(5):688–969.
6.
HardwigsenJBaquéPCrespyBMoutardierVDelperoJRLe TreutYP. Resection of the inferior vena cava for neoplasms with or without prosthetic replacement: a 14-patient series. Ann Surg. 2001;233(2):242–249. doi:10.1097/00000658-200102000-00014
7.
MatsumotoSJungKSmithACoimbraR. Management of IVC injury: repair or ligation? A propensity score matching analysis using the National Trauma Data Bank. J Am Coll Surg. 2018;226(5):752–759.e2.
8.
MahapatraSRamakrishnaPGuptaBShettyNParaMA. Management of iatrogenic injury to the inferior vena cava and right common iliac artery for drainage of psoas abscess. Aorta (Stamford). 2017;5(2):64–67.
9.
BowerTCNagorneyDMCherryKJ, et al.Replacement of the inferior vena cava for malignancy: an update. J Vasc Surg. 2000;31(2):270–281.
10.
EhrlichYKedarDZelikovskiA, et al.Vena caval reconstruction during postchemotherapy retroperitoneal lymph node dissection for metastatic germ cell tumor. Urology.2009;73(2):442.e17-e19
11.
SarkarREilberFRGelabertHA, et al.Prosthetic replacement of the inferior vena cava for malignancy. J Vasc Surg. 1998;28(1):75–81; discussion 82-83.
12.
PulitanóCCrawfordMHoP, et al.The use of biological grafts for reconstruction of the inferior vena cava is a safe and valid alternative: results in 32 patients in a single institution. HPB (Oxford). 2013;15(8):628–632. doi:10.1111/hpb.12029
SoejimaYMatsumotoTShirabeKMaeharaY. Tube cavoplasty using autologous vein grafts for resected inferior vena cava reconstruction. Surg Today. 2013;43(4):452–455.
15.
MuneneGMackLAMooreRDTempleWJ. Neoadjuvant radiotherapy and reconstruction using autologous vein graft for the treatment of inferior vena cava leiomyosarcoma. J Surg Oncol. 2011;103(2):175–178. doi:10.1002/jso.21798
16.
DrozNMBiniJKJafreeKAMatsuuraJH. Staged reconstruction of the inferior vena cava after gunshot injury. J Vasc Surg Cases Innov Tech. 2017;3(3):136–138. doi:10.1016/j.jvscit.2017.03.005
17.
PraseedomRKDharPJamiesonNVWallworkJBergmanILomasDJ. Leiomyosarcoma of the retrohepatic vena cava treated by excision and reconstruction with an aortic homograft: a case report and review of literature. Surg Innov. 2007;14(4):287–291.
18.
Di BenedettoFD’AmicoGMontaltiR, et al.Banked depopulated vena caval homograft: a new strategy to restore caval continuity. Surg Innov. 2012;19(1):NP5–NP9.
19.
GuerreroMACrossCALinPHKeaneTELumsdenAB. Inferior vena cava reconstruction using fresh inferior vena cava allograft following caval resection for leiomyosarcoma: midterm results. J Vasc Surg. 2007;46(1):140–143.
20.
GargKRiegelDAWilliamsBHJacobowitzGR. Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava. J Vasc Surg Venous Lymphat Disord. 2014;2(1):74–76.
21.
HicksCWGlebovaNOPiazzaKM, et al.Risk of venous thromboembolic events following inferior vena cava resection and reconstruction. J Vasc Surg. 2016;63(4):1004–1010. doi:10.1016/j.jvs.2015.09.020
22.
RayarMLevi SandriGBBlondeauM, et al.Lateral cavo-caval shunt: an alternative veno-venous bypass in liver surgery. Transl Gastroenterol Hepatol. 2018;3:23.
