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Revista Mexicana de Angiología

Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular
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2006, Number 2

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Rev Mex Angiol 2006; 34 (2)

Repair with saphenous in spiral in inferior cava vein lesion. Report of a case

Gil RL, Serrano GCA, Martínez LC
Full text How to cite this article

Language: Spanish
References: 8
Page: 75-78
PDF size: 126.46 Kb.


Key words:

Inferior vena cava, saphenous vein, iatrogenic lesion.

ABSTRACT

Whereas vascular lesions have an incidence range of 0.9 to 2.8%, the iatrogenic lesions have one of 5 to 75% of all vascular lesions. There are different factors that increase the difficulty to identify and dissect tissular planes. Most of the venous injuries can be managed with simple techniques. In a lesser percentage, more complex techniques are used that require first choice autologous grafts in infected wounds, and synthetic grafts when one doesn’t have the possibility to remove the autologous graft.
We report the case of a 62-year-old patient submitted to urologic surgery with inferior vena cava section, and we repaired it with saphenous vein graft in spiral.


REFERENCES

  1. Iatrogenic operative injuries of abdominal and pelvic veins: A potentially lethal complication J Vasc Surg 2004; 39: 931-6.

  2. Martínez LC, et al. Reparación de la vena cava inferior infrarrenal con injerto de peritoneo. Rev Mex Ang 1998; 26(2): 49-51.

  3. Akimaru K, Onda M, Tajiri T, Yoshida H, Mamada Y, Taniai N, Yoshioka M, Mineta S. Reconstruction of the vena cava with the peritoneum. Tokyo, Japan. Amer J Surg 2000; 179.

  4. Cekirdekci A, Bayar MK, Yilmaz S, Cihangiroglu M, Ayan E, Duran M, Bakalim T, Kayal D, Gokce O. Reconstruction of the vena cava with the peritoneum: the effect of temporary distal arteriovenous fistula on patency (an experimental study). Eur J Vasc Endovasc Surg 2004; 27: 84-8.

  5. Jost CJ, Gloviczki P, Cherry, KJ, Jr, McKusick MA, Harmsen WS, et al. Surgical reconstruction of iliofemoral veins and the inferior vena cava for non-malignant occlusive disease. J Vasc Surg 2001; 33: 320-8.

  6. Rutherford EE, Schweitzer FAW, Whiteley MS. Inferior vena cava reconstruction using internal jugular vein. EJVES Extra 2001; 1: 59-60.

  7. Lechaux, D, Megevand J, Raoul J, Boudjema K. Ex vivo right trisegmentectomy with reconstruction of inferior vena cava and “flop” reimplantation. J Am Coll Surg 2002; 194(6).

  8. Ohwada S, Ogawa T, Kawashima Y, Ohya T, Kobayashi I, Tomizawa N, et al. Concomitant major hepatectomy and inferior vena cava reconstruction. J Am Coll Surg 1999; 188(1).




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Rev Mex Angiol. 2006;34