Banked Depopulated Vena Caval Homograft A New Strategy to Restore Caval Continuity

• Published in: Surgical innovation Vol. 19; no. 1; pp. NP5 - NP9
• Main Authors: Di Benedetto, Fabrizio, D’Amico, Giuseppe, Montalti, Roberto, Ballarin, Roberto, Tarantino, Giuseppe, Pecchi, Annarita, Gerunda, Giorgio E.
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-03-2012
• Subjects: Aged; Contrast Media; Female; Humans; Leiomyosarcoma - diagnostic imaging; Leiomyosarcoma - surgery; Tomography, X-Ray Computed; Vascular Neoplasms - diagnostic imaging; Vascular Neoplasms - surgery; Vascular Patency; Vena Cava, Inferior; primary leiomyosarcoma; inferior vena cava; banked depopulated vena caval homograft
• ISSN: 1553-3506; 1553-3514
• DOI: 10.1177/1553350611410075

This study reports one case of primary inferior vena cava (IVC) leiomyosarcoma. A 67-year-old woman was referred to the authors’ clinic for evaluation. She presented complaining of epigastric and right upper abdominal quadrant pain. Contrast-enhanced abdominal computed tomography scan revealed a 5.2 × 6.4 cm heterogeneously enhancing mass involving the anteromedial aspect of the IVC, below the renal vein (segment I), deforming the duodenum. There was a partial intraluminal extension in the IVC. Laparotomic resection was performed, with total en bloc excision of the lower IVC tumor. The caval continuity was restored with concomitant interposition of a banked depopulated vena cava homograft. Histological findings showed leiomyosarcoma originating from IVC. The postoperative course was uneventful: Neither recurrence nor metastasis was evident at 4 years postsurgery.