Recanalization of the inferior vena cava after ligation.

Abstract

LIGATION of the inferior vena cava is an effective method for the prevention of pulmonary embolization. Chronic edema of the lower extremities, sometimes massive, and skin ulceration are accompanying undesirable postoperative sequelae. To prevent these complications, Streuter,† in 1953, suggested the use of catgut as a ligature, after his animal experimentation indicated reopening of the inferior vena cava at about six weeks. He emphasized the fact that pulling the suture material tightly about the vena cava would produce permanent stricture. In the case presented below, a single No. 1 chromic-catgut suture was tightly drawn about the inferior vena cava to . . .