title: [Adequate venous autoplasty in severe superior vena cava syndrome].
abstract: Eleven patients underwent plastic operations on the superior vena cava (SVC) in its severe occlusion. The SVC syndrome was caused by malignant tumors of the right lung and mediastinum in 9 patients, lymphogranulomatosis in one patient, and by chronic fibrous mediastinitis in another patient. The SVC and its main branches were replaced by a multisegmental graft (lineal or bifurcation) of autogenous vein formed by parallel stitching together of 3-5 longitudinally cut segments of the vena saphena magna. Venous drainage was adequate and the graft remained unobstructed for a long time due to the anatomical conformity of the graft to the SVC and the equal diameters of the joined vessels. The immediate and late-term (3 to 26 months) results of plastics with a multisegmental graft or autogenous vein were good.
authors.forename: D E
authors.initials: DE
authors.lastname: Babliak
authors.forename: V G
authors.initials: VG
authors.lastname: Averchuk
mesh_terms: D000208:Acute Disease; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011187:Posture; D011859:Radiography; D013350:Subclavian Vein / Q000637:transplantation; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Adekvatnaia autovenoznaia plastika pri tiazhelom sindrome verkhneĭ poloĭ veny.