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CASE REPORT
Year : 2010  |  Volume : 26  |  Issue : 3  |  Page : 438-440

Leiomyosarcoma of inferior vena cava involving bilateral renal veins: Surgical challenges and reconstruction with upfront saphenous vein interposition graft for left renal vein outflow


1 Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India
2 Department of Cardio-Thoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India

Correspondence Address:
Amlesh Seth
Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.70590

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Leiomyosarcoma of inferior vena cava (IVC) involving bilateral renal veins presents a surgical challenge. Herein, we report the successful management of two such cases using restoration of left renal venous outflow by saphenous vein interposition graft as first step of surgery. Then radical resection of tumor and right kidney was done. IVC was lastly reconstructed using Gore-Tex graft. This report highlights the surgical challenges to ensure radical resection. Furthermore, the importance of restoring left renal outflow in presence of concomitant right nephrectomy is discussed. Both the patients were disease free at six months with no loss of left renal glomerular filtration rate.


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