| Cross-femoral venous by-pass (Palma's procedure) to relieve venous hypertension due to retroperitoneal leiomyosarcoma: a case report. | |
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MedLine Citation:
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PMID: 20690530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Retroperitoneal leiomyosarcoma arising in, or involving, the inferior vena cava or the iliac vein are infrequent tumours. They are usually treated by "en-block" surgery. Venous reconstruction is usually not needed, since collateral circulation can adequately offset the main vessel flow. However, in rare cases, collateral circulation may be insufficient. The authors report a case of leiomyosarcoma infiltrating the left iliac vein. One week after radical resection surgery, the patient developed left leg compartmental syndrome due to venous hypertension. The patient was successfully treated by thrombectomy of the left femoral vein and cross-femoral venous bypass (Palma's Procedure) by means of an 8 mm diameter polytetrafluoroethylene (PTFE) prosthesis. To improve the flow inside the graft, an arterio-venous fistula (AVF) was performed. The choice of a prosthetic conduit, its diameter, and the AVF are discussed. |
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Authors:
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G Passari; S Lentini; F Benedetto; M La Spada; Fr Spinelli |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 110 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-08-09 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 383-6 Citation Subset: IM |
Affiliation:
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Vascular Surgery Unit, Policlinico G. Martino University Hospital, University of Messina, Messina, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blood Vessel Prosthesis Compartment Syndromes / physiopathology, surgery Femoral Vein / surgery* Humans Iliac Vein / physiopathology, surgery Leiomyosarcoma / physiopathology* Male Neoplasm Invasiveness Retroperitoneal Neoplasms / physiopathology* Thrombectomy Vascular Surgical Procedures / methods* Venous Pressure / physiology* Venous Thrombosis / physiopathology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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