ONCOVASCULAR SURGERY OF THE INFRARENAL AORTA AND INFERIOR VENA CAVA. CASE REPORT
Keywords:
simultaneous venous and arterial resection/reconstruction, retroperitoneal tumor.Abstract
Summary. Aim: the clinical case of combined removal
of retroperitoneal tumor, resection and one-stage reconstruction of the infrarenal part of the aorta and the
lower vena cava (LVC) in a patient aged 27 years is
presented. Results: at the 25th post-operative day, the
patient was registered from the hospital in a satisfactory condition. According to the ultrasound examination,
for 4.5 months from the moment of operative intervention of the veins of the lower extremities and LVC in the
prosthetic zone passages, have satisfactory blood flow.
For direct and indirect signs, blood flow in the aorta
and arteries of the lower extremities is within normal
limits. Conclusion: a non-standard surgical approach
successfully used, including one-stage resection and reconstruction of the infrarenal part of aorta and LVC.
Such a tactic can be safe and effective in case of meticulous patients selection.
References
MacNeill AJ, Gronchi A, Miceli R, et al. Postoperative morbidity after radical resection of primary retroperitoneal sarcoma: a report from the Transatlantic RPS Working Group. Ann Surg 2017; doi: 10.1097/SLA.0000000000002250.
van Houdt WJ, Zaidi S, Messiou C, et al. Treatment of retroperitoneal sarcoma: current standards and new developments. Curr Opin Oncol 2017; 29 (4): 260–7.
Goto H, Hashimoto M, Akamatsu D, et al.Surgical resection and inferior vena cava reconstruction for treatment of the malignant tumor: technical success and outcomes. Ann of Vasc Dis 2014; 7 (2): 120–6.
Schwarzbach MH, Hormann Y, Hinz U, et al. Clinical results of surgery for retroperitoneal sarcoma with major blood vessels involvement. J Vasc Surg 2006; 44 (1): 46–55.
Schneider JR, Sener SF, Barrera E Jr. Combined replacement of infrarenal aorta and inferior vena cava after en bloc resection of retroperitoneal extraosseous osteosarcoma. J Vasc Surg 2008; 48 (2): 478–9.
Anaya-Ayala JE, Cheema ZF, Davies MG, et al. Concomitant reconstruction of infrarenal aorta and inferior vena cava after en bloc resection of retroperitoneal rhabdomyosarcoma. VascEndovascular Surg 2011; 45 (8): 769–72.
