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Surgical Treatment for Infected Thrombus in the Superior Vena Cava Using an Off-Pump Venoatrial Shunt

^a Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
^b Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Accepted for publication August 14, 2007.

^_* Address correspondence to Dr Mishima, Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho, Nagoya, 467–8601, Japan (Email: mishima{at}med.nagoya-cu.ac.jp).

We report a septic patient who had an infected thrombus that extended from the right internal jugular vein to the right atrium 1 cm below the superior venocaval junction. The thrombus was successfully removed using an off-pump shunt placed between the innominate vein and the right atrium.