Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava

Karan Garg; Daniel A Riegel; Brittny H Williams; Glenn R Jacobowitz

doi:10.1016/j.jvsv.2013.05.007

Delayed reconstruction with cryopreserved vein of an iatrogenically ligated inferior vena cava

J Vasc Surg Venous Lymphat Disord. 2014 Jan;2(1):74-6. doi: 10.1016/j.jvsv.2013.05.007. Epub 2013 Jul 26.

Authors

Karan Garg¹, Daniel A Riegel¹, Brittny H Williams¹, Glenn R Jacobowitz²

Affiliations

¹ Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY.
² Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY. Electronic address: glenn.jacobowitz@nyumc.org.

PMID: 26992973
DOI: 10.1016/j.jvsv.2013.05.007

Abstract

We report the case of delayed reconstruction of an iatrogenically transected inferior vena cava (IVC). A 47-year-old male underwent a laparoscopic right nephrectomy complicated by an unrecognized IVC transection. Postoperatively, he developed severe lower extremity edema, abdominal distension, and discomfort, prompting further investigation. A computed tomography scan showed a staple line extending across the IVC with thrombus extending distally to the level of the left renal vein. Repair of the suprarenal portion of the IVC was undertaken using a cryopreserved femoral vein allograft. The patient demonstrated clinical improvement with follow-up imaging demonstrating graft patency at 15 months.