Complex Iliac Artery and Iliocaval Venous Reconstruction Using Temporary, Redundant Graft To Facilitate Resection of Recurrent Metastatic Sex Stromal Tumor

Authors

• Shah-Jahan M Dodwad
• Blaz Podgorsek
• Ezra Koh
• Taha S Zaidi
• Justin E Bird
• Shalin S Patel
• Thanila A Macedo
• Gustavo S Oderich

Language

English

Publication Date

4-1-2026

Journal

Journal of Vascular Surgery Cases, Innovations and Techniques

DOI

10.1016/j.jvscit.2025.102063

PMID

41567135

PMCID

PMC12818210

PubMedCentral® Posted Date

12-8-2025

PubMedCentral® Full Text Version

Post-print

Abstract

We report a complex case of recurrent, metastatic sex cord stromal tumor involving the pelvic vasculature and spinal nerves. Posterior and anterior approaches were required with redo iliac artery reconstruction using a temporary, redundant aortoiliac to right external iliac artery graft and iliocaval venous reconstruction. After completion of tumor resection from nerve structures, reconstruction of the right iliac veins was completed and the redundant aortoiliac arterial graft was shortened. The redundant graft minimized ischemia time, enabling meticulous dissection and tumor removal. This case underscores the importance of multidisciplinary collaboration in managing rare, aggressive malignancies with complex vascular and neural involvement.

Keywords

Reoperative, Iliac reconstruction, Pelvic tumor

Published Open-Access

yes

Recommended Citation

Dodwad, Shah-Jahan M; Podgorsek, Blaz; Koh, Ezra; et al., "Complex Iliac Artery and Iliocaval Venous Reconstruction Using Temporary, Redundant Graft To Facilitate Resection of Recurrent Metastatic Sex Stromal Tumor" (2026). Faculty, Staff and Student Publications. 3438.
https://digitalcommons.library.tmc.edu/uthmed_docs/3438