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Ann Thorac Surg 1990;50:417-419
© 1990 The Society of Thoracic Surgeons

Articles

Superior vena caval reconstruction using autologous pericardium

William Piccione, Jr, MD*, L.Penfield Faber, MD, William H. Warren, MD

Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St Luke's Medical Center, Chicago, Illinois, USA

Accepted for publication April 4, 1990.

* Address reprint requests to Dr Piccione, 1725 W Harrison, Suite 850, Chicago, IL 60612.

Tumor involvement of the superior vena cava can occur either by direct extension of the primary tumor or by invasion of superior mediastinal lymph nodes. Removal of a portion of the caval wall may be required to allow adequate margins of resection. The technique described involves placement of an intraluminal shunt and resection of the involved caval wall with reconstruction using autologous pericardium.




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