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Michael B. Silva, MD, H. Colleen Silva, MD, Gail P

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1 Prosthetic replacement of the inferior vena cava after resection of a pheochromocytoma 
Michael B. Silva, MD, H.Colleen Silva, MD, Gail P. Sandager, RN, RVT, Robert P. Davis, MD, William R. Flinn, MD  Journal of Vascular Surgery  Volume 19, Issue 1, Pages (January 1994) DOI: /S (94) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 CT scan of abdomen demonstrates large tumor mass (T) displacing and flattening the pararenal IVC (arrow). Left renal vein is seen crossing over aorta (A) to enter IVC. Pheochromocytoma was found, at time of surgery, to be densely adherent to posterior wall of IVC. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Operative photo was taken from patient's left side; head is to right. Reconstruction of IVC was accomplished with 20 mm diameter, externally supported ePTFE graft. Two right renal veins (RV) were implanted into body of graft to preserve right kidney (K) function. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Postoperative venacavogram confirms patency of IVC and ePTFE graft (G). Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Color-flow duplex ultrasound scanning can easily visualize continuity of normal venous flow through patent IVC graft. It was also possible to confirm patency of right renal veins with this technique. Journal of Vascular Surgery  , DOI: ( /S (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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