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Department of Thoracic Surgery, European Institute of Oncology, Via Ripamonti 435, Milan, 20141 Italy
(Email: lorenzo.spaggiari@ieo.it).
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The article by Lanuti and colleagues [1] is important not only in terms of content but also because it offers further evidence that superior vena cava (SVC) resection is indicated to treat pulmonary and mediastinal malignancies. Technically speaking, the article confirms the feasibility of resection without cardiopulmonary support in all patients if selection is appropriate.
I would like to add our personal contribution on a biologic prosthesis we routinely use in all patients undergoing SVC resection. Our first patient with lung cancer to receive a bovine pericardial tube was operated on in 2003. He is still alive without any anticoagulant regimen, with a fully patent prosthesis, and no graft calcification. To date, we have used
Related Article
Ann. Thorac. Surg. 2009 88: 392-397.
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