Research ArticleOpen AccessGoogle Scholar indexed
The Mesenteric-Caval Fistula: First Results of a New Technique in a Transperitoneal Reconstruction of the Caval Vein by Fulminant Thrombosis of the Inferior Vena Cava Based on Homozygous Antithrombin III-Deficiency
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 1 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 2 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 3 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 4 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 5 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 6 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 7 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 8 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
- 9 Department of Cardiac and Thoracic Vascular Surgery, UKSH, Kiel, Germany
Copy link · social · email
Abstract
Recurrent thrombotic occlusions are one major problem in patients with thrombosis of the inferior vena cava. Due to this, we report a new surgical strategy for the construction of aorto-caval (mesen teric-caval) fistula in a patient with homozygous Antithrom bin III (ATIII)-Deficiency. The patient survived postoperatively and only surgical complications grade I and II (Clavien-Dindo classifi cation) were reported after short-term and one year follow-up. After one year, the CT-angiography did not show any caval thrombosis or stenosis and no restriction or occlusion of the fistula. Thus, the mesenteric-caval fistula could be safely performed and resulted in a satisfactory patency .
KeywordsMesenteric-Caval FistulaThrombosisTransperitoneal ReconstructionHomozygous Antithrombin III-Deficiency
- Chow, F.C., Chan, Y.C., Cheung, G.C. and Cheng, S.W. (2015) Mid- and Long-Term Outcome of Patients with Permanent Inferior Vena Cava Filters: A Single Center Review. Annals of Vascular Surgery, 29, 985-994. http://dx.doi.org/10.1016/j.avsg.2015.01.009
- Hirsh, J., Piovella, F. and Pini, M. (1989) Congenital Antithrombin III Deficiency. Incidence and Clinical Features. The American Journal of Medicine, 87, 34S-38S. http://dx.doi.org/10.1016/0002-9343(89)80529-7
- Barthels, M., et al. (2003) Das Gerinnungskompendium, Thieme Verlag, Stuttgart, 529 ff.
- Lindhoff, E., et al. (2008) Update Thrombophilie. Hamostaseologie, 28, 365-375.
- Alcocer, F., Perez, S. and Martinez, C. (2012) Small Skin Incision and Fistula Elevation for Hemodialysis Using the Femoral Vein. Journal of Vascular Surgery, 56, 753-756. http://dx.doi.org/10.1016/j.jvs.2012.01.077
- Bruhn, D.B. and Schambeck, C.M. (2007) Hamostaseologie für die Praxis: Sicher durch den klinischen Alltag Gebundene Ausgabe. Schattauer-Verlag, Stuttgart, 425-427.
- Wehling (2005) Klinische Pharmakologie. Thieme Verlag, Stuttgart, S. 107.
- Wehling (2005) Klinische Pharmakologie. Thieme Verlag, Stuttgart, S. 660.
- Witz, M., et al. (1996) Renal Vein Occlusion: A Review. The Journal of Urology, 155, 1173-1179. http://dx.doi.org/10.1016/S0022-5347(01)66206-2
- Keating, M.A. and Althausen, A.F. (1985) The Clinical Spectrum of Renal Vein Thrombosis. 6, 938-945.
- Kniemeyer, H.W., et al. (1993) Thrombectomy with Arteriovenous Fistula for Embolizing Deep Venous Thrombosis: An Alternative Therapy for Prevention of Recurrent Pulmonary Embolism. The Clinical Investigator, 72, 40-45.
- Kniemeyer, H.W., Abbara, M., Luther, B., Torsello, G., Grabitz, K. and Sandmann, W. (1997) Chirurgische Behandlung der V.-cava-inferior-Thrombose. Gefasschirurgie, 2, 69-77.