Iatrogenic Inferior Vena Cava Resection Requiring Reconstruction

Hossam Alslaim, Jane Chung, Edward Kruse, Mrinal Shukla, Gautam Agarwal

Research output: Contribution to journalArticlepeer-review

Abstract

This is a report of an iatrogenic inferior vena cava (IVC) segmental resection and reconstruction utilizing bovine pericardium. A 48-year-old female patient presented for a planned right nephrectomy by the urology service secondary to xanthogranulomatous pyelonephritis. This was complicated by inadvertent resection of an 8 cm segment of the infrarenal IVC. Postoperatively, the patient did not tolerate IVC ligation due to severe lower extremity edema. She then underwent reconstruction with a bovine pericardium conduit as an interposition graft. The post-operative course was complicated by pulmonary embolism requiring percutaneous intervention. This report addresses the utility of bovine pericardium for IVC reconstruction in an infected field.

Original languageEnglish (US)
JournalVascular and Endovascular Surgery
DOIs
StateAccepted/In press - 2021

Keywords

  • IVC injury
  • IVC reconstruction
  • IVC resection
  • IVC thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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