Reconstruction of the vein of Labbé by using a short saphenous vein bypass graft. Technical note

J Neurosurg. 1998 Oct;89(4):671-5. doi: 10.3171/jns.1998.89.4.0671.

Abstract

Protection of the vein of Labbé is a significant concern during surgery that involves retraction of the temporal lobe. A cranial base surgical approach, especially one via the presigmoid-petrosal route, carries considerable risk to this venous complex. A case is presented in which a large dominant vein of Labbé was injured during resection of a petroclival meningioma. This vein drained all the sylvian venous circulation as well as the lateral temporal surface; no connection to another venous system was noted. The vein was successfully reconstructed using a short saphenous vein bypass graft. Significant complications could have occurred without this reconstruction. The technique and benefits of this type of reconstruction are discussed.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Cerebral Veins / injuries
  • Cerebral Veins / surgery*
  • Combined Modality Therapy
  • Embolization, Therapeutic
  • Female
  • Humans
  • Intraoperative Complications
  • Mastoid / surgery
  • Meningeal Neoplasms / surgery
  • Meningeal Neoplasms / therapy
  • Meningioma / surgery
  • Meningioma / therapy
  • Middle Aged
  • Petrous Bone / surgery
  • Saphenous Vein / transplantation*
  • Skull Base / surgery
  • Temporal Lobe / blood supply*
  • Vascular Patency