Dacron Graft Replacement with Bilateral Renal Vein Reimplantation for Inferior Vena Cava Leiomyosarcoma

Abstract

The surgical treatment of inferior vena cava (IVC) leiomyosarcomas is not well elucidated. The preferred procedures include either IVC wedge resection or ligation. The authors present a case in which Dacron graft replacement of the midportion of the IVC with bilateral renal vein implantation was performed for an IVC leiomyosarcoma. This is, to their knowledge, the first report in the literature describing a technically successful IVC Dacron graft replacement for a primary tumor. The report is presented to demonstrate the technical feasibility of this procedure and the good long-term graft patency rate. At present complete surgical excision of the tumor seems to offer the only chance for a long-term cure.

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