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

• Published in: Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) NY), 2013-04, Vol.1 (2), p.209-211
• Main Authors: Nishinari, Kenji, MD, PhD, Valentim, Luisa Assis, MD, Yazbek, Guilherme, MD, PhD, Zottele Bomfim, Guilherme Andre, MD, Vieria Castro, Thiago Mattiazzo, MD, Wolosker, Nelson, MD, PhD
• Format: Article
• Language: English
• Subjects: Surgery
• ISSN: 2213-333X
• DOI: 10.1016/j.jvsv.2012.07.001

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.