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Ann Thorac Surg 1995;59:227-229
© 1995 The Society of Thoracic Surgeons

Articles

Superior vena cava syndrome caused by aneurysm of the innominate artery

MD James J. McFarland, MD Mark B. Kahn, ALM Charles F. Bellows, MD Rosita M. Shah, DO Robert A. Koenigsberg, MD Richard E. Parsons, MD Glenn J.R. Whitman, MD Verdi J. Disesa*

Divisions of Cardiothoracic; Vascular Surgery, Medical College of Pennsylvania, Philadelphia, Pennsylvania, USA

Accepted for publication May 6, 1994.

* Address reprint requests to Dr DiSesa, Division of Cardiothoracic Surgery, Medical College of Pennsylvania, 3300 Henry Ave, Philadelphia, PA 19129.

Isolated aneurysms or ruptures of the innominate artery are rare causes of the superior vena cava syndrome. We report on a patient who suffered an isolated acute expansion and rupture of an innominate artery aneurysm that precipitated a dramatic superior vena cava syndrome. Immediate repair using modern surgical techniques, cardiopulmonary bypass, profound hypothermia, circulatory arrest, and a Dacron graft rapidly cured the patient of this deadly syndrome.






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Copyright © 1995 by The Society of Thoracic Surgeons.