Division of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Georgia at Augusta University, GA, USA.
Division of Surgical Oncology, Department of Surgery, Medical College of Georgia at Augusta University, GA, USA.
Vasc Endovascular Surg. 2021 Nov;55(8):864-868. doi: 10.1177/15385744211012904. Epub 2021 Apr 28.
This is a report of an iatrogenic inferior vena cava (IVC) segmental resection and reconstruction utilizing bovine pericardium. A 48-year-old female patient presented for a planned right nephrectomy by the urology service secondary to xanthogranulomatous pyelonephritis. This was complicated by inadvertent resection of an 8 cm segment of the infrarenal IVC. Postoperatively, the patient did not tolerate IVC ligation due to severe lower extremity edema. She then underwent reconstruction with a bovine pericardium conduit as an interposition graft. The post-operative course was complicated by pulmonary embolism requiring percutaneous intervention. This report addresses the utility of bovine pericardium for IVC reconstruction in an infected field.
这是一份使用牛心包进行医源性下腔静脉（IVC）节段性切除和重建的报告。一名 48 岁女性患者因黄肉芽肿性肾盂肾炎，由泌尿科行计划右肾切除术。术中意外切除了 8cm 段下腔静脉。术后，由于严重的下肢水肿，患者不能耐受 IVC 结扎。随后，她接受了牛心包导管作为中间移植物进行重建。术后出现肺栓塞，需要进行经皮介入治疗。本报告介绍了在感染性场域中使用牛心包进行 IVC 重建的效果。
