The liver was dissected following an excision of the suprahepatic inferior vena cava and infrahepatic
inferior vena cava.
We present two cases involving surgical resection of infrahepatic
IVC leiomyosarcoma repaired with prosthetic IVC replacement and patch closure respectively.
The donor inferior vena cava (IVC) is typically transected immediately above and below the intrahepatic portions and the supra- and infrahepatic
anastomoses are performed in an end-to-end fashion (Figure 1A).
control with clamps is usually adequate for level I thrombus, but mobilization of the liver and temporary occlusion of the portal triad (Pringle manoeuvre) are commonly required for level II and III thrombus.