Division of the left renal vein during aortic surgery

Calligaro, Keith D.; Savarese, Ronald P.; McCombs, Peter R.; DeLaurentis, Dominic A.

doi:10.1016/s0002-9610(05)80305-8

Cited by 41 publications

(20 citation statements)

References 9 publications

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“…Another difference from other studies is that the renal vein was ligated in only 7% of our patients as compared with other studies that report a 3% to 10% incidence rate for aortic operations for AAA where most patients had clamping below the renal arteries. 13,14 Our results, which include data from the one patient who died of visceral ischemia with renal insuffiency, are equal to previous data reported from comparable patient groups. Of 41 patients with AAA, with 30 supraceliac and 11 suprarenal aortic clamps, Green et al 6 reported three patients who needed dialysis.…”

Section: Discussionsupporting

confidence: 79%

Aortic clamping during elective operations for infrarenal disease: The influence of clamping time on renal function

Wahlberg

DiMuzio

Stoney

2002

Journal of Vascular Surgery

138

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Section: Discussionsupporting

confidence: 79%

Aortic clamping during elective operations for infrarenal disease: The influence of clamping time on renal function

Wahlberg

DiMuzio

Stoney

2002

Journal of Vascular Surgery

138

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“…2 ,61,75,124-127 In dogs submitted to ligation of the left renal vein there was a decrease of blood flow on the left as a consequence of venous stasis 75and in ' man the variation of the pressure in the hilar renal venous stump was dependent on the flow through the tributaries of the LRV with the pressure above 60 em of water in the ' hilar renal venous stump possibly leading to a 'decrease of the glomerular filtration due to the decrease of the renal arterial flOW. 17 , 54 We found an increase in creatinine serum and proteinuria in the ligature groups, although these values were practically normal. Light proteinuria was observed in rats submitted to LLRV.…”

Section: Discussionmentioning

confidence: 66%

Ligation of the left renal vein in epm1-wistar rats: functional and morphologic alterations in the kidneys, testes and suprarenal glands

et al. 1997

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Objective: The Iigation of the left renal vein (LLVR) in man is a contraversial procedure in view of the risks of lesion to the renal parenchyma. With the objecUve of studying the morphologic and functional alterations caused by these lesions, we conducted experimental research with rats. Material and Methods: 64 male adult EPM 1-WISTAR rats were used, divided into 8 groups -4 for . LLRV and four for control. Each LLRV group and corresponding control group were sacrificed progressively on the 7th, 15th, 30th and 60th day after the initial surgery. Results: We found morphofunctional alterations only in animais that underwent LLRV in the four periods of sacrifice. The proteinuria creatinine in serum, testosterone in serum and serum corticosterone in serum showed practically no alteration in relation to the normal values for rats. Statistically significant severe histological lesions were found in the kidneys and testes of the LLRV groups. Lesions in the suprarenal glands were also presentin these groups, but no sufficient to demonstrate statistical significance Conclusion: Based on these results we can conclude that the Iigation of the left renal vein is a procedure of high risk in these animais.

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“…We reported that left renal vein stump pressure may be measured to help determine how well ligation will be tolerated. 15 Flow from the right renal vein, however, must be preserved. This can be accomplished with re-implantation into the IVC, interposition graft to the IVC, reconstruction using the gonadal vein, or autotransplantation of the kidney to the right iliac fossa.…”

Section: Discussionmentioning

confidence: 99%

Primary leiomyosarcoma of the inferior vena cava: Reports of infrarenal and suprahepatic caval involvement

Tameo

Calligaro

Antin

et al. 2010

Journal of Vascular Surgery

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We report two cases of primary inferior vena cava (IVC) leiomyosarcoma. The first patient was a 60-year-old female who presented with abdominal pain. The patient was initially diagnosed with a retroperitoneal sarcoma that may have involved the right renal vessels and the IVC. The Vascular Surgery Service was consulted intra-operatively when it became evident that the IVC was primarily involved. The patient was treated with total en-bloc excision of the infrarenal IVC tumor with concomitant interposition polytetrafluoroethylene (PTFE) graft caval replacement. The second patient was a 58-year-old female who presented with general malaise and anemia. This tumor began in the distal infrarenal IVC and extended cephalad to the suprahepatic IVC, ending approximately 2 cm below the right atrium. Intrapericardial IVC clamping was required for cephalad control in this patient, who was then treated with excision of the tumor and concomitant interposition PTFE graft caval replacement with reimplantation of the right renal vein. A review of this rare tumor is presented.

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Division of the left renal vein during aortic surgery

Cited by 41 publications

References 9 publications

Aortic clamping during elective operations for infrarenal disease: The influence of clamping time on renal function

Aortic clamping during elective operations for infrarenal disease: The influence of clamping time on renal function

Ligation of the left renal vein in epm1-wistar rats: functional and morphologic alterations in the kidneys, testes and suprarenal glands

Primary leiomyosarcoma of the inferior vena cava: Reports of infrarenal and suprahepatic caval involvement

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