Complete resection of leiomyosarcoma of the suprarenal inferior vena cava without caval replacement

Abstract

Objective: To successfully treat leiomyosarcoma of the suprarenal segment of the inferior vena cava (IVC) by section without caval replacement.

Methods: Multiple occlusive clamps were used to maintain haemodynamic stability. Measurement of the stump pressure of the distal IVC and both renal veins was employed to evaluate venous congestion.

Results: Use of these techniques allowed avoidance of suprarenal IVC reconstruction in our patient, who had well-developed collateral veins.

Conclusions: Our experience indicates that reconstruction is not always mandatory.