Autogenous arterial and venous reconstruction for femoral vein leiomyosarcoma-a case report

Brandon Propper*, David Zonies, David Smith, Todd E. Rasmussen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


This report describes the removal of a large, symptomatic leiyomyosarcoma arising from the proximal femoral vein necessitating removal of the femoral venous and arterial circulations. Reconstruction was accomplished with autologous vein and initial coverage with ipsilateral rectus abdominus flap. Persistent, early postoperative lymphatic leak and groin sepsis secondary to staph aureus was managed with reoperation and coverage with contralateral rectus abdominus muscle flap. Negative pressure dressing device was used as a wound management adjunct and splint thickness skin graft providing final successful coverage. Two years following the operation the patient was without evidence of disease, had a patent vascular reconstruction and a well healed groin. Femoral vein leiyomyosarcoma is a rare vascular tumor, which is especially challenging to manage in the proximal location. Successful outcome is predicated on revascularization with autologous vein and on a multidisciplinary approach using various soft tissue coverage strategies and wound management adjuncts.

Original languageEnglish
Pages (from-to)215-220
Number of pages6
JournalVascular and Endovascular Surgery
Issue number2
StatePublished - 2009


  • Femoral reconstruction
  • Groin sepsis
  • Leiomyosarcoma
  • Venous tumor


Dive into the research topics of 'Autogenous arterial and venous reconstruction for femoral vein leiomyosarcoma-a case report'. Together they form a unique fingerprint.

Cite this