Published in:
Open Access 01-12-2023 | Neck Dissection | Case Report
Internal jugular vein reconstruction using a triple-paneled great saphenous vein graft
Published in: World Journal of Surgical Oncology | Issue 1/2023
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Background
Donor–recipient diameter discrepancy can be problematic when using an autologous great saphenous vein graft for internal jugular vein reconstruction. A triple-paneled method of saphenous vein grafting is one solution.
Case presentation
A 54-year-old man with a thyroid papillary carcinoma underwent total thyroidectomy and bilateral neck dissection. An 8-cm segment of the right internal jugular vein was resected. For reconstruction, a 30-cm segment of the great saphenous vein was harvested and divided into three pieces of equal length. After opening each piece longitudinally, they were sutured together in a side-by-side fashion to create a cylinder that was used to reconstruct the internal jugular vein defect. The graft was patent 10 months after the surgery.
Conclusion
The triple-paneled method is feasible for autologous great saphenous vein graft reconstruction of the internal jugular vein.