Case Description
  • The patient was a 63 year old woman with a large caval sarcoma extending from the renal vein/caval confluence to the cavo-atrial junction, with anterior extension displacing the porta hepatis but without portal vein invasion.
  • All 3 hepatic veins were obstructed, leading to Budd-Chiari syndrome, rendering all but an ex vivo approach unfeasible.
  • The kidneys and lower extremities are draining largely though a posterior lumbar vein located at the level of the renal veins.
  • An ex vivo liver resection with en bloc resection of cava, backbench liver flush, liver segments 1/6/7 resection with creation of liver segments 2/3/4ab/5/8 autograft was planned.
  • The cava will be reconstructed with a 19 French ringed PTFE graft.
CT scans 2-days preop

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CT scans 1-year preop

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3D models

RELATED CATEGORIES: HEPATO-PANCREATO-BILIARY | LIVER | KIDNEY

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