| Use of a distal arteriovenous fistula in a complex vascular reconstruction after resection of an osteosarcoma in a high-risk child. | |
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MedLine Citation:
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PMID: 19231558 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Osteosarcoma is the most common osseous malignancy of childhood. Vascular reconstruction during resection is uncommon. However, when required, thrombosis is a major cause of failed limb salvage surgery. A 19-year-old patient required complex vascular reconstruction in conjunction with lower extremity osteosarcoma resection. Preoperatively, his case was complicated by an ipsilateral popliteal deep vein thrombosis presenting during neoadjuvant chemotherapy. At the time of resection, to increase vascular graft flow, a distal arteriovenous fistula was created between the posterior tibial artery and the greater saphenous vein. This case illustrates a patient with a complex extirpation procedure requiring concomitant vascular reconstruction. This technique should be considered when limb salvage with vascular resection is being attempted in a high-risk patient. |
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Authors:
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David C Yu; Bradley C Linden; Megan E Anderson; Christopher B Weldon |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 44 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-02-23 Completed Date: 2009-06-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 459-63 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA. dyu@tulane.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Shunt, Surgical
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methods* Femoral Neoplasms / surgery* Humans Male Neoplasms, Multiple Primary / surgery* Osteosarcoma / surgery* Risk Factors Saphenous Vein / surgery* Soft Tissue Neoplasms / surgery* Tibial Arteries / surgery* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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