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The Annals of Thoracic Surgery, Vol 36, 85-88, Copyright © 1983 by The Society of Thoracic Surgeons
RP Anderson and WI Li
Following resection of a leiomyosarcoma, the superior vena cava (SVC) was
successfully replaced by means of a spiral graft constructed from
autogenous saphenous vein. This technique has previously been applied only
as a bypass operation in patients with total occlusion of the SVC causing
SVC syndrome. Our patient had mild SVC obstruction and absence of venous
hypertension in the upper body before the operation in which segmental SVC
replacement was employed. She has remained free from signs or symptoms of
SVC obstruction, and graft patency was demonstrated ten months after
operation. The literature concerning use of the spiral graft is reviewed,
and our operative technique is described. Use of a spiral vein graft should
be considered whenever large veins must be replaced.
ARTICLES
Segmental replacement of superior vena cava with spiral vein graft
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