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

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Presentation transcript:

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 169-173 (January 1994) DOI: 10.1016/S0741-5214(94)70132-6 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1994 19, 169-173DOI: (10.1016/S0741-5214(94)70132-6) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1994 19, 169-173DOI: (10.1016/S0741-5214(94)70132-6) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Postoperative venacavogram confirms patency of IVC and ePTFE graft (G). Journal of Vascular Surgery 1994 19, 169-173DOI: (10.1016/S0741-5214(94)70132-6) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1994 19, 169-173DOI: (10.1016/S0741-5214(94)70132-6) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions