Concomitant aortic and vena caval reconstruction associated with germ-cell tumor resection with creation of a new venous bifurcation

Kenji Nishinari; Luisa Assis Valentim; Guilherme Yazbek; Guilherme Andre Zottele Bomfim; Thiago Mattiazzo Vieria Castro; Nelson Wolosker

doi:10.1016/j.jvsv.2012.07.001

Concomitant aortic and vena caval reconstruction associated with germ-cell tumor resection with creation of a new venous bifurcation

J Vasc Surg Venous Lymphat Disord. 2013 Apr;1(2):209-11. doi: 10.1016/j.jvsv.2012.07.001. Epub 2012 Dec 17.

Authors

Kenji Nishinari¹, Luisa Assis Valentim², Guilherme Yazbek¹, Guilherme Andre Zottele Bomfim¹, Thiago Mattiazzo Vieria Castro¹, Nelson Wolosker¹

Affiliations

¹ Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil.
² Department of Vascular Surgery, Hospital do Câncer A.C. Camargo, São Paulo, SP, Brazil. Electronic address: valentimluisa@gmail.com.

PMID: 26992345
DOI: 10.1016/j.jvsv.2012.07.001

Abstract

Aortic and vena caval reconstruction associated with tumor resection is very rare. We describe a 22-year-old man with a retroperitoneal metastasis from a germ-cell tumor previously treated with chemotherapy who presented with a huge mass involving the infrarenal aorta and the inferior vena cava. He underwent retroperitoneal lymph node dissection with concomitant aortic and caval reconstruction that included customization of a new caval bifurcation. His postoperative recovery was uneventful, and he remained well 36 months after the operation. Complementary follow-up imaging examinations demonstrated that the aortic and venous interposition grafts were patent and that there was no local or distant disease recurrence.