Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Banked Vena Caval Homograft Replacement of the Inferior Vena Cava for Primary Leiomyocsarcoma

  • Lim, Jae Hong (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine) ;
  • Sohn, Suk Ho (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine) ;
  • Sung, Yong Won (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine) ;
  • Moon, Hyeon Jong (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine) ;
  • Choi, Jae-Sung (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine) ;
  • Oh, Se Jin (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine)
  • Received : 2013.10.28
  • Accepted : 2013.12.31
  • Published : 2014.10.05
Download PDF
⟨ Previous Next ⟩

Abstract

Primary leiomyosarcoma of the inferior vena cava (IVC) is a rare malignant tumor. Herein, we report the case of a 52-year-old male patient who had postprandial abdominal distension and right upper quadrant abdominal pain. The abdominal computed tomography (CT) angiogram showed an IVC mass extending from the infrahepatic to the suprarenal inferior vena cava. The radiologic findings were suggestive of an IVC leiomyosarcoma. Surgical resection and reconstruction with a cryopreserved homograft were performed. The follow-up abdominal CT angiogram revealed the patient to be disease-free 6 months after surgery with patency of the IVC and renal vein.

Keywords

References

  1. Kim JT, Kwon T, Cho Y, Shin S, Lee S, Moon D. Multidisciplinary treatment and long-term outcomes in six patients with leiomyosarcoma of the inferior vena cava. J Korean Surg Soc 2012;82:101-9. https://doi.org/10.4174/jkss.2012.82.2.101
  2. Mingoli A, Cavallaro A, Sapienza P, Di Marzo L, Feldhaus RJ, Cavallari N. International registry of inferior vena cava leiomyosarcoma: analysis of a world series on 218 patients. Anticancer Res 1996;16:3201-5.
  3. Di Benedetto F, D'Amico G, Montalti R, et al. Banked depopulated vena caval homograft: a new strategy to restore caval continuity. Surg Innov 2012;19:NP5-9. https://doi.org/10.1177/1553350611403770
  4. Kieffer E, Alaoui M, Piette JC, Cacoub P, Chiche L. Leiomyosarcoma of the inferior vena cava: experience in 22 cases. Ann Surg 2006;244:289-95. https://doi.org/10.1097/01.sla.0000229964.71743.db
  5. Yadav R, Kataria K, Mathur SR, Seenu V. Leiomyosarcoma of inferior vena cava: a case series of four cases. Indian J Pathol Microbiol 2012;55:83-5. https://doi.org/10.4103/0377-4929.94865
  6. Monig SP, Gawenda M, Erasmi H, Zieren J, Pichlmaier H. Diagnosis, treatment and prognosis of the leiomyosarcoma of the inferior vena cava: three cases and summary of published reports. Eur J Surg 1995;161:231-5.
  7. Fiore M, Locati P, Mussi C, et al. Banked venous homograft replacement of the inferior vena cava for primary leiomyosarcoma. Eur J Surg Oncol 2008;34:720-4. https://doi.org/10.1016/j.ejso.2006.10.005
  8. Faenza A, Ferraro A, Gigli M, De Paolis M, Errani C, Mercuri M. Vascular homografts for vessel substitution in skeletal and soft tissue sarcomas of the limbs. Transplant Proc 2005;37:2692-3. https://doi.org/10.1016/j.transproceed.2005.06.078