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Vascular and Endovascular Surgery
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Long-Term Results of Common/External Iliac Vein Reconstruction Using Internal Jugular Vein

A Case Report

Thomas M. Bergamini

Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky

Peter K. Henke

Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky

Mark A. Wilson

Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky

Richard W. Bock

Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky

This case report gives the long-term outcome of a patient undergoing reconstruction of the iliac vein with internal jugular vein interposition graft following trauma. A 51-year- old woman sustained a gunshot wound at the confluence of the right common, internal, and external iliac veins as well as injuries to the small and large bowel. The internal iliac vein was ligated and the external and common iliac vein was reconstructed with inter position internal jugular vein graft. The internal jugular vein was chosen because of the fecal contamination due to the enteric injuries and the equivalent size and endothelial ized surface of the conduit. The internal jugular vein interposition graft has maintained long-term patency. The patient has been followed for six years with no development of leg swelling or chronic venous valvular insufficiency.

Vascular and Endovascular Surgery, Vol. 31, No. 4, 483-487 (1997)
DOI: 10.1177/153857449703100412
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