title: Management of recurrent superior vena caval syndrome with an externally supported femoral vein bypass graft.
abstract: Management of superior vena caval syndrome with an autogenous vein bypass graft can be complicated by occlusion of the bypass graft. The case of a patient with recurrent superior vena caval syndrome due to occlusion of a spiraled saphenous vein graft who was managed with a femoral vein graft supported externally by a sleeve of ringed polytetrafluoroethylene is presented. A venogram demonstrated patency of the graft 11 months postoperatively, and the patient remains free from clinically apparent superior vena caval obstruction 18 months postoperatively.
authors.affiliation: Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, MO.
authors.forename: W G
authors.initials: WG
authors.lastname: Marshall
authors.forename: N T
authors.initials: NT
authors.lastname: Kouchoukos
mesh_terms: D000328:Adult; D001807:Blood Vessel Prosthesis; D005268:Femoral Vein / Q000637:transplantation*; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D012008:Recurrence; D013479:Superior Vena Cava Syndrome / Q000601:surgery*; D014654:Vascular Patency
chemical_list: D011138:Polytetrafluoroethylene