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Ann Thorac Surg 2001;71:1351-1353
© 2001 The Society of Thoracic Surgeons

Case report

Surgical repair of superior vena cava syndrome

Moisés C. Calderon, MDa, Victor M. Lozano, MDa, Arturo Jaquez, MDa, Cesar Villaseñor, MDa

a Department of Cardiothoracic Surgery, Hospital Angeles de las Lomas, Mexico City, Mexico

Accepted for publication September 19, 2000.

Address reprint requests to Dr Calderon, Paseo de la Soledad 69, La Herradura, Edo Mex, 53920, Mexico
e-mail: moisesc{at}infosel.net.mx

We present the case of a 53-year-old woman with a history of breast cancer, chemotherapy, and a long-term central venous access catheter, who presented with acute, severe superior vena cava syndrome. Angiography showed fibrous obstruction of the superior vena cava with thrombosis of the innominate, both axillary subclavian and internal jugular veins. Surgical repair consisted of thrombectomy of all the involved vessels and patch repair of superior vena cava and innominate vein. The patient had an uneventful recovery and remains asymptomatic 12 months after the procedure.




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T. Saito, M. Asano, N. Nomura, M. Ishida, A. Mizuno, T. Nakayama, Y. Okada, and A. Mishima
Surgical Treatment for Infected Thrombus in the Superior Vena Cava Using an Off-Pump Venoatrial Shunt
Ann. Thorac. Surg., March 1, 2008; 85(3): 1113 - 1114.
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