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THE JOURNAL OF CARDIOVASCULAR SURGERY

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

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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