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Case Reports

Radical Resection of the Superior Vena Cava Using the Contegra Bovine Jugular Vein Conduit

^a Department of Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom
^b Department of Adult Cardiac Surgery, Royal Brompton Hospital, London, United Kingdom

Accepted for publication April 6, 2009.

^_* Address correspondence to Dr Petrou, Department of Adult Cardiac Surgery, Royal Brompton Hospital, Sydney St, London, SW3 6NP, United Kingdom (Email: m.petrou{at}rhht.nhs.uk).

Radical resection of the superior vena cava poses a challenge for the cardiothoracic surgeon. The Contegra graft (Medtronic Inc, Minneapolis, MN), a biologic conduit comprising the valved segment of the bovine jugular vein, is established as a right ventricular to pulmonary artery conduit for right ventricular outflow tract repair in the pediatric population. We describe the use of the Contegra graft to facilitate radical resection and reconstruction of the superior vena cava in 2 patients, with demonstrable patency of grafts at 12 months and 7 months postoperatively.