Inferior Vena Cava Prosthetic Replacement in a Patient With Horseshoe Kidney and Metastatic Testicular Tumor

Technical Considerations and Review of the Literature

Pietro Rispoli; Paolo Destefanis; Paolo Garneri; Gianfranco Varetto; Beatrice Lillaz; Claudio Castagno; Patrizia Lista; Libero Ciuffreda; Dario Fontana

Disclosures

BMC Urol. 2014;14(40) 

In This Article

Conclusions

Residual tumor removal is associated with high rates of mortality and comorbidity. In patients with horseshoe kidney and advanced stage non-seminomatous GCT (NSGCT) and post-chemotherapy retroperitoneal residual disease amenable to resection, the aims of surgical treatment are to achieve radical tumor removal, restore venous drainage, and preserve renal function without worsening the precarious health of a patient already severely debilitated by disease and treatment. These objectives can be reached with scrupulous evaluation of the individual case by a multidisciplinary team composed of an urologist, a vascular surgeon, and a medical oncologist. Caval replacement with a ringed PTFE should be performed without resecting the renal isthmus, owing to the frequent vascular anomalies associated with this disorder, and thus avoid the risk of bleeding complications.

Consent

Written informed consent was obtained from the patient for the publication of this case presentation and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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