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Ann Thorac Surg 1988;46:239-241
© 1988 The Society of Thoracic Surgeons

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Articles

Management of Recurrent Superior Vena Caval Syndrome with an Externally Supported Femoral Vein Bypass Graft

From the Division of Cardiothoracic Surgery, Washington University School of Medicine, and Jewish Hospital at Washington University Medical Center, St. Louis, MO

Accepted for publication February 9, 1988.

^* Address reprint requests to Dr. Marshall, Division of Cardiovascular and Thoracic Surgery, The Jewish Hospital, 216 S Kingshighway Blvd, St. Louis, MO 63110.

Management of superior vena caval syndrome with an autogenous vein bypass graft can be complicated by occlusion of the bypass graft. The case of a patient with recurrent superior vena caval syndrome due to occlusion of a spiraled saphenous vein graft who was managed with a femoral vein graft supported externally by a sleeve of ringed polytetrafluoroethylene is presented. A venogram demonstrated patency of the graft 11 months postoperatively, and the patient remains free from clinically apparent superior vena caval obstruction 18 months postoperatively.

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