Synthetic tubular prostheses have been used successfully1-4 in the reestablishment of vascular continuity following resection of diseased arterial segments. Arterial surgery for trauma, aneurysm, and occlusive disease has been extended by this technique. Restoration of venous continuity has proved a less crucial consideration, with its usually adequate collateral and lack of coexistent involvement in arterial disease. On occasion it has been necessary to reestablish arterial continuity following radical resection for malignancy.5,6 Obstruction of major veins by malignancy or their resection with tumor trates both the feasibility and the desirability of such an approach following resection of a long segment of femoral artery and vein during resection of malignancy.
A positive biopsy tissue of a poorly differentiated anaplastic fibrosarcoma* was obtained from a movable 10×6 cm. mass in the right midthigh of a 57-year-old paper-mill employee one week prior to admission. At biopsy this mass was found