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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 October;40(5):711-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Injuries of large vessels in high stage neuroblastoma surgery. A case report

Koltuksuz U., Gursoy M. H., Aydinc M., Ozgen U., Ege E., Mutus M.

From the Departments of Pediatric Surgery Pediatric Hematology and Cardiovascular Surgery Turgut Özal Medical Center at the University of Inönü School of Medicine, Malatya, Turkey


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Com­plete resec­tion of the pri­mary ­lesion in ­stage III neu­ro­blas­toma ­improves sur­vival. Neu­ro­blas­toma has a ten­dency ­towards sur­rounding and infil­trating the ­large ves­sels, ­leading to inju­ries ­during ­tumor resec­tion. We oper­ated on a ­stage III neu­ro­blas­toma, ­which ­resulted in the ­right and ­left ­common ­iliac ­artery and ­vein ­damage. The ­right ­common ­iliac ­artery and, ­veins ­were ­repaired by end to end anas­tom­osis. ­There was a ­long gap ­between the two ­ends of the ­left ­common ­iliac ­artery and it was ­repaired ­using a mes­en­teric ­vein (mar­ginal ­vein of the ­colon) ­graft. Dig­ital sub­trac­tion angio­graphy per­formed 6 ­months ­after the oper­a­tion did not ­reveal any sten­osis or aneu­rys­matic ­changes in the anas­to­moses. We con­clude ­that ­short seg­ments of ­large ves­sels may be sac­ri­ficed ­during the resec­tion of neu­ro­blas­tomas ­invading the ­vessel ­wall, and the ­resulting ­defects may be ­repaired by end to end anas­tom­osis, or ­even by sub­sti­tuting mes­en­teric ­vein ­grafts, for the pur­pose of ­total or ­near ­total ­removal.

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