Surgical resection of retrohepatic inferior vena cava leiomyosarcoma without vascular reconstruction: case report.

Autor:	Castro IF; Hospital Geral de Fortaleza - HGF, Fortaleza, CE, Brasil., Nunes PHS; Universidade Federal do Ceará - UFC, Fortaleza, CE, Brasil., Lopes ACX; Universidade Federal do Ceará - UFC, Fortaleza, CE, Brasil., Lima MC; Universidade Federal do Ceará - UFC, Fortaleza, CE, Brasil., Conrado RP; Universidade Federal do Ceará - UFC, Fortaleza, CE, Brasil., Leal RMLV; Hospital Universitário Walter Cantídio - HUWC, Fortaleza, CE, Brasil., Goes ACAM; Hospital Universitário Walter Cantídio - HUWC, Fortaleza, CE, Brasil., Costa MLV; Hospital Universitário Walter Cantídio - HUWC, Fortaleza, CE, Brasil.
Jazyk:	angličtina
Zdroj:	Jornal vascular brasileiro [J Vasc Bras] 2023 Jul 10; Vol. 22, pp. e20220108. Date of Electronic Publication: 2023 Jul 10 (Print Publication: 2023).
DOI:	10.1590/1677-5449.202201081
Abstrakt:	Inferior vena cava leiomyosarcoma (IVCL) is a rare malignant mesenchymal tumor. Surgical treatment is a challenge because it must combine free surgical margins with vascular reconstruction, using prosthetic or autologous grafts, primary suture, or simple ligation without vein reconstruction. The ligation option is possible thanks to the slow growth of the tumor, allowing collateral venous circulation to develop. We present a case of an IVCL treated with radical resection without vascular reconstruction. The patient was a 48-year-old female with abdominal pain in the right upper quadrant, asthenia, and postprandial dyspeptic symptoms. Abdominal tomography revealed a mass with an expansive formation located in the infrahepatic segment of the inferior vena cava and reduced vessel lumen. During surgery, vein clamping did not provoke hemodynamic repercussions, suggesting sufficient collateral circulation formation. It was decided to perform a radical resection of the entire portion of the retrohepatic vena cava and ligate the vena cava without vascular reconstruction. The patient recovered without complications. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. (Copyright© 2023 The authors.)
Databáze:	MEDLINE
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