A patient undergoing radical retroperitoneal lymphadenectomy for metas
tatic embryonal cell testicular carcinoma is presented. Tumor resectio
n required removal of the inferior vena cava due to transmural invasio
n. The inferior vena cava was replaced using externally stented polyte
trafluoroethylene (PTFE) graft. Patency was documented by postoperativ
e Doppler studies, duplex scanning, and computed tomographic scanning.
Stented PTFE is currently the graft of choice for inferior vena caval
replacement.