Autogenous arterial and venous reconstruction for femoral vein leiomyosarcoma-a case report

Brandon Propper, David Zonies, David Smith, Todd E. Rasmussen

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

This report describes the removal of a large, symptomatic leiyomyosarcoma arising from the proximal femoral vein necessitating removal of the femoral venous and arterial circulations. Reconstruction was accomplished with autologous vein and initial coverage with ipsilateral rectus abdominus flap. Persistent, early postoperative lymphatic leak and groin sepsis secondary to staph aureus was managed with reoperation and coverage with contralateral rectus abdominus muscle flap. Negative pressure dressing device was used as a wound management adjunct and splint thickness skin graft providing final successful coverage. Two years following the operation the patient was without evidence of disease, had a patent vascular reconstruction and a well healed groin. Femoral vein leiyomyosarcoma is a rare vascular tumor, which is especially challenging to manage in the proximal location. Successful outcome is predicated on revascularization with autologous vein and on a multidisciplinary approach using various soft tissue coverage strategies and wound management adjuncts.

Original languageEnglish (US)
Pages (from-to)215-220
Number of pages6
JournalVascular and Endovascular Surgery
Volume43
Issue number2
DOIs
StatePublished - Apr 1 2009

Keywords

  • Femoral reconstruction
  • Groin sepsis
  • Leiomyosarcoma
  • Venous tumor

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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