Ann Thorac Surg 2003;76:1296-1297
© 2003 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery, Cambridge, United Kingdom
b Department of Cardiology, Papworth Hospital, Cambridge, United Kingdom
Accepted for publication March 4, 2003.
* Address reprint requests to Dr Billing, Department of Cardiothoracic Surgery, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE, United Kingdom
Superior vena cava (SVC) obstruction most commonly results from malignant disease of the superior mediastinum, which is amenable to percutaneous stenting. Superior vena cava syndrome can also be caused by transvenous pacemaker electrodes and indwelling venous catheters, when it may be refractory to minimally invasive treatment. We report 2 patients with superior vena cava obstruction treated successfully by a surgical bypass approach using cryopreserved aortic arch homografts.
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