Sage Journals: Discover world-class research

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.

Get full access to this article

View all access options for this article.

References

1. Perl L : Ein Fall von Sarkom der Vena cava inferior. Virchows Arch Pathol Anat 53:378-383, 1871.

2. Dzsinich C , Gloviczki P , VanHeerden JA , et al: Primary venous leiomyosarcoma: A rare but lethal disease. J Vasc Surg 15:595-603, 1992.

3. Mingoli A , Feldhaus RJ , Cavallaro A , 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 14:688-699, 1991.

4. Yanaga K , Okadome K , Ito H , et al: Graft replacement of pararenal inferior vena cava for leiomyosarcoma with the use of venous bypass. Surgery 113:109-112, 1993.

5. Stuart FP , Baker WH : Palliative surgery for leiomyosarcoma of the inferior vena cava. Ann Surg 177:237-239, 1973.

6. VonLintner F, Faust U, Nowotny C: Ein malignen entartetes primares Leiomyom der Vena cava Inferior (Leiomyosarkom) unter dem klinischen Blid des Chiari-Buddschen Syndroms. Wien Clin Wochenschr 90:485-489, 1978.

7. Gloviczki P , Hollier LH , Dewanjee MK , et al: Experimental replacement of the inferior vena cava: Factors affecting patency. Surgery 95:657-666, 1984.

8. Herring M , Gardner A , Peigh P , et al: Patency in canine inferior vena cava grafting: Effects of graft material, size, and endothelial seeding. J Vasc Surg 1:877-887, 1984.

9. Gloviczki P , Pairolero PC , Cherry KJ , et al: Reconstruction of the vena cava and its primary tributaries: A preliminary report. J Vasc Surg 11:373-381, 1990.

10.

10. Scherck JP , Kerstein MD , Stansel HC Jr : The current status of vena caval replacement. Surgery 76:209-233, 1974.

11.

11. Plate G , Hollier LH , Gloviczki P , et al: Overcoming failure of venous vascular prostheses. Surgery 96:503-510, 1984.

12.

12. Fiore AC , Brown JW , Cromartie RS , et al: Prosthetic replacement of the thoracic vena cava. An experimental study. J Thorac Cardiovasc Surg 84:560-568, 1982.

13.

13. Wilson SE , Jabour A , Stone RT , et al: Patency of biologic and prosthetic inferior vena cava grafts with distal limb fistula. Arch Surg 113:1174-1179, 1978.

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

Abstract

Get full access to this article

References