Saphenous vein graft bypass of the sigmoid sinus and jugular bulb during the removal of glomus jugulare tumors. Report of two cases

Journal of Neurosurgery
L N SekharD A Schessel

Abstract

Glomus jugulare tumors always invade the jugular bulb and sigmoid sinus, making it difficult to resect these tumors totally without sacrificing the involved sinus. Although the sinus can be sacrificed safely in most patients, a few patients will have serious consequences. Reconstruction of the jugular bulb using a saphenous vein graft may enable tumor resection in these patients without complications. The authors describe two cases of saphenous vein grafting used to bypass the sigmoid sinus. The first case is that of a 61-year-old man with a glomus jugulare tumor that invaded the dominant sigmoid sinus, which was poorly collateralized. Temporary occlusion of the sinus during surgery caused a 15-mm Hg increase in intrasinus pressure, without brain swelling or changes in evoked potentials. A saphenous vein graft was used to bypass the sigmoid sinus and jugular bulb and to allow for total tumor removal. The patient had a good outcome. The second case is that of a 41-year-old man with a left glomus jugulare tumor and another smaller tumor on the opposite, dominant sinus. The left glomus jugulare tumor was resected via a two-stage procedure. A saphenous vein graft was used to reconstruct the left sigmoid sinus because of the presenc...Continue Reading

References

Mar 1, 1976·Journal of Neurosurgery·M SindouC Fourcade
Apr 1, 1992·Journal of Neurosurgery·L N SekharS Ramasastry
Feb 1, 1987·Journal of Neurosurgery·T M Sundt, T M Sundt
Feb 1, 1973·Journal of Neurosurgery·R M DonaghyM Numoto
Oct 1, 1971·Journal of Neurosurgery·B L Rish
Aug 1, 1995·Neurosurgery·B K Kleinschmidt-DeMasters, K O Lillehei

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Citations

Dec 3, 2013·Neurosurgical Focus·Marcus D MazurPhilipp Taussky
Dec 2, 1998·Journal of Neurosurgery·P C Potthoff
Feb 22, 2017·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ryan P MortonLaligam N Sekhar
Dec 21, 2004·Arquivos de neuro-psiquiatria·João Paulo MattosGuilherme Borges
Aug 22, 2008·Neurosurgery·Laligam N SekharBasavaraj Ghodke
Dec 12, 2017·BMC Ear, Nose, and Throat Disorders·Sarah Zaher Addeen, Mohammad Al-Mohammad

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Methods Mentioned

BETA
radial artery bypass
surgical resection

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