PMC9676270_01
Pre-operative MRI showing involvement of the retro-hepatic IVC by leiomyosarcoma (red arrow). IVC, inferior vena cava.
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F1
An abdomen MRI then uncovered findings concerning sarcoma of the retro-hepatic IVC (Figure 1).
(A) Shows explanted liver on the back-table where the inferior IVC and leiomyosarcoma are being resected. (B) Shows the resected leiomyosarcoma and IVC. IVC, inferior vena cava.
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F2
The leiomyosarcoma was circumferentially dissected en-bloc with the IVC, leaving only the origins of the right hepatic vein and the confluence of the middle and left hepatic veins (Figures 2A,B).
(A) Axial images showing the native vena cava GTX graft (posterior) (yellow arrow) and the two anterior hepatic vein GTX grafts (dotted green ellipse). (B) Coronal images showing the native vena cava graft (medial) and one of the hepatic vein GTX grafts (lateral). GTX, Gore-Tex.
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F3
The patient's 3-month follow-up visit was unremarkable, as well as his 3-month post-operative abdominal and chest CT scans (Figures 3A,B).