Banked Depopulated Vena Caval Homograft A New Strategy to Restore Caval Continuity
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...
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| Published in: | Surgical innovation Vol. 19; no. 1; pp. NP5 - NP9 |
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01-03-2012
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Di Benedetto, Fabrizio Ballarin, Roberto Pecchi, Annarita D’Amico, Giuseppe Montalti, Roberto Tarantino, Giuseppe Gerunda, Giorgio E. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21719437$$D View this record in MEDLINE/PubMed |
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| Snippet | 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... 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... |
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| SubjectTerms | 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 |
| Subtitle | A New Strategy to Restore Caval Continuity |
| Title | Banked Depopulated Vena Caval Homograft |
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