Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava

Karan Garg; Daniel A. Riegel; Brittny H. Williams; Glenn R. Jacobowitz

doi:10.1016/j.jvsv.2013.05.007

Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava

Karan Garg, Daniel A. Riegel, Brittny H. Williams, Glenn R. Jacobowitz

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We report the case of delayed reconstruction of an iatrogenically transected inferior vena cava (IVC). A 47-year-old male underwent a laparoscopic right nephrectomy complicated by an unrecognized IVC transection. Postoperatively, he developed severe lower extremity edema, abdominal distension, and discomfort, prompting further investigation. A computed tomography scan showed a staple line extending across the IVC with thrombus extending distally to the level of the left renal vein. Repair of the suprarenal portion of the IVC was undertaken using a cryopreserved femoral vein allograft. The patient demonstrated clinical improvement with follow-up imaging demonstrating graft patency at 15 months.

Original language	English (US)
Pages (from-to)	74-76
Number of pages	3
Journal	Journal of Vascular Surgery: Venous and Lymphatic Disorders
Volume	2
Issue number	1
DOIs	https://doi.org/10.1016/j.jvsv.2013.05.007
State	Published - Jan 2014
Externally published	Yes

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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abstract = "We report the case of delayed reconstruction of an iatrogenically transected inferior vena cava (IVC). A 47-year-old male underwent a laparoscopic right nephrectomy complicated by an unrecognized IVC transection. Postoperatively, he developed severe lower extremity edema, abdominal distension, and discomfort, prompting further investigation. A computed tomography scan showed a staple line extending across the IVC with thrombus extending distally to the level of the left renal vein. Repair of the suprarenal portion of the IVC was undertaken using a cryopreserved femoral vein allograft. The patient demonstrated clinical improvement with follow-up imaging demonstrating graft patency at 15 months.",

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AU - Jacobowitz, Glenn R.

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N2 - We report the case of delayed reconstruction of an iatrogenically transected inferior vena cava (IVC). A 47-year-old male underwent a laparoscopic right nephrectomy complicated by an unrecognized IVC transection. Postoperatively, he developed severe lower extremity edema, abdominal distension, and discomfort, prompting further investigation. A computed tomography scan showed a staple line extending across the IVC with thrombus extending distally to the level of the left renal vein. Repair of the suprarenal portion of the IVC was undertaken using a cryopreserved femoral vein allograft. The patient demonstrated clinical improvement with follow-up imaging demonstrating graft patency at 15 months.

AB - We report the case of delayed reconstruction of an iatrogenically transected inferior vena cava (IVC). A 47-year-old male underwent a laparoscopic right nephrectomy complicated by an unrecognized IVC transection. Postoperatively, he developed severe lower extremity edema, abdominal distension, and discomfort, prompting further investigation. A computed tomography scan showed a staple line extending across the IVC with thrombus extending distally to the level of the left renal vein. Repair of the suprarenal portion of the IVC was undertaken using a cryopreserved femoral vein allograft. The patient demonstrated clinical improvement with follow-up imaging demonstrating graft patency at 15 months.

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Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava

Abstract

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