Inferior vena cava resection without prosthesis replacement for vena cava sarcoma (with video)

In this video, we present a case of inferior vena cava (IVC) sarcoma with massive bilateral venous iliac thrombosis managed with caval resection and ligation of the IVC without replacement. Primary leiomyosarcomas of the IVC are rare tumors originating from smooth muscles localized in vena cava wall [1—3]. Surgical resection represents the main treatment for IVC sarcomas. As reported by Wachtel and al. [1], IVC replacement with prosthetic graft is the most frequent procedure (49.2% of cases), whereas ligation of the IVC without replacement has been observed in 20.3% of patients and primarily repair in 21.9%.