Reconstruction of the Common Femoral Vein and Artery after Resection of a Leiomyosarcoma of the CFV

Construction of the venous conduit. (a) Construction of the saphenous vein spiral graft using continuous 6/0 vascufil sutures mounted on a 12mm Hegar dilator. (b) Placement of a dilating 12mm stent within the venous spiral graft, 9.5cm long and 11mm in width.

Venous and arterial reconstruction. (a) Reconstruction of the common femoral vein (CFV) with a venous spiral graft: proximal end-to-end anastomosis between the graft and the CFV and a distal anastomosis between the graft and the superficial femoral vein (SFV), using continuous 6/0 vascufil sutures. (b) Arterial reconstruction with a 8mm, heparinised PFTE interposition graft with end-to-end anastomoses between the common femoral artery (CFA) and the superficial femoral artery (SFA) and the profunda femoral artery (PFA). Arrow shows the arterial–venous fistula between the venous spiral graft and the PFA.