Author:
Miyamoto Shimpei,Hidaka Takeaki,Fukuoka Osamu,Fujisawa Kou,Okazaki Mutusmi
Abstract
Abstract
Background
Donor–recipient diameter discrepancy can be problematic when using an autologous great saphenous vein graft for internal jugular vein reconstruction. A triple-paneled method of saphenous vein grafting is one solution.
Case presentation
A 54-year-old man with a thyroid papillary carcinoma underwent total thyroidectomy and bilateral neck dissection. An 8-cm segment of the right internal jugular vein was resected. For reconstruction, a 30-cm segment of the great saphenous vein was harvested and divided into three pieces of equal length. After opening each piece longitudinally, they were sutured together in a side-by-side fashion to create a cylinder that was used to reconstruct the internal jugular vein defect. The graft was patent 10 months after the surgery.
Conclusion
The triple-paneled method is feasible for autologous great saphenous vein graft reconstruction of the internal jugular vein.
Publisher
Springer Science and Business Media LLC