Giant liposarcoma elongating mediastinal vessels with intrathoracic inferior vena cava replacement

Andrea Billè, Giuseppe Garofalo, Francesco Leo, Ugo Pastorino

Research output: Contribution to journalArticlepeer-review

Abstract

Intrathoracic infiltration of the inferior vena cava (IVC) is rare; mobilization and prosthetic replacement may increase the risk of cardiac arrest and postoperative complications. We report a case of a giant liposarcoma which elongated and grew around the IVC, invading both hemithoraces. The removal of this mass required a bypass between the left femoral and ipsilateral axillary vein to guarantee an adequate venous return. The IVC was replaced by a polytetrafluoroethylene prosthesis. A postoperative paralysis of patient's lower limbs occurred. Hypotension or involvement of aberrant medullary artery origin could be responsible for this complication.

Original languageEnglish
Article numberezt149
Pages (from-to)570-572
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume44
Issue number3
DOIs
Publication statusPublished - Sep 2013

Keywords

  • Inferior vena cava
  • Liposarcoma
  • Prosthetic replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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