Use of a Superficial Femoral Artery Autograft as a Femoral Vein Replacement During En Bloc Sarcoma Resection

Soft tissue malignancy encasing axial vessels presents a surgical challenge when the goal is limb-preserving radical excision. Report: We describe a case where limb-preserving resection of a myxoid liposarcoma involving the femoral vessels was successfully performed in the absence of autologous superficial vein for vascular reconstruction. The proximal ipsilateral superficial femoral artery was harvested as an autograft for venous reconstruction, with the arterial defect bridged using a polytetrafluoroethylene interposition graft. Discussion: This technique may be selectively extended to other indications where limb viability is dependent upon availability of a high-quality graft, and conventional conduits are either unavailable or unreliable.