DACRON GRAFT REPLACEMENT WITH BILATERAL RENAL-VEIN REIMPLANTATION FORINFERIOR VENA-CAVA LEIOMYOSARCOMA - A CASE-REPORT

The surgical treatment of inferior vena cava (IVC) leiomyosarcomas is not well elucidated. The preferred procedures include either IVC wedge resection or ligation. The authors present a case in which Dacron gra ft replacement of the midportion of the IVC with bilateral renal vein implantation was performed for an IVC leiomyosarcoma. This is, to thei r knowledge, the first report in the literature describing a technical ly successful IVC Dacron graft replacement for a primary tumor. The re port is presented to demonstrate the technical feasibility of this pro cedure and the good long-term graft patency rate. At present complete surgical excision of the tumor seems to offer the only chance for a lo ng-term cure.