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Ann Thorac Surg 2003;76:1296-1297
© 2003 The Society of Thoracic Surgeons

Case report

Aortic arch homograft as a bypass conduit for superior vena cava obstruction

J. Stephen Billing, DPhil, FRCS*a, Catherine D. Sudarshan, FRCSa, Peter M. Schofield, MRCPb, Francis Murgatroyd, MRCPb, Francis C. Wells, FRCSa

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
e-mail: stephenbilli{at}hotmail.com

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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