Lateral cavo-caval shunt: an alternative veno-venous bypass in liver surgery

Rayar, Michel; Sandri, Giovanni Battista Levi; Blondeau, Marc; Lakéhal, M.; Desfourneaux, Véronique; Sulpice, Laurent; Meunier, Bernard; Boudjéma, Karim

doi:10.21037/tgh.2018.04.03

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2021

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“…The left renal vein had robust back bleeding, and it is unlikely to be the etiology of the embolism. The use of a temporary cavo-caval shunt, such as practiced in liver transplant surgery, 22 to eliminate venous stasis might have decreased the risk of this complication. Suprarenal IVC filter placement is a safe and effective technique.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Inferior Vena Cava Resection Requiring Reconstruction

Alslaim

Chung

Kruse

et al. 2021

Vasc Endovascular Surg

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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.

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Section: Discussionmentioning

confidence: 99%