Document Detail

Cross-femoral venous by-pass (Palma's procedure) to relieve venous hypertension due to retroperitoneal leiomyosarcoma: a case report.
MedLine Citation:
PMID:  20690530     Owner:  NLM     Status:  MEDLINE    
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.
G Passari; S Lentini; F Benedetto; M La Spada; Fr Spinelli
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  110     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-08-09     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  383-6     Citation Subset:  IM    
Vascular Surgery Unit, Policlinico G. Martino University Hospital, University of Messina, Messina, Italy.
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MeSH Terms
Blood Vessel Prosthesis
Compartment Syndromes / physiopathology,  surgery
Femoral Vein / surgery*
Iliac Vein / physiopathology,  surgery
Leiomyosarcoma / physiopathology*
Neoplasm Invasiveness
Retroperitoneal Neoplasms / physiopathology*
Vascular Surgical Procedures / methods*
Venous Pressure / physiology*
Venous Thrombosis / physiopathology,  surgery

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