[Complete resection of superior mediastinal seminoma, following reconstruction of superior vena cava--a case report].
The patient was a 37-year-old man with superior mediastinal seminoma, which invaded the bilateral brachiocephalic vein, superior vena cava, pericardium and left lung. These invaded organs were resected with the tumor and a vascular reconstruction was performed with EPTFE graft and pericardial patch. EPTFE graft was interposed between the left brachiocephalic vein and right atrium. Superior vena cava was reconstructed by means of pericardial patch. Histologically, the tumor was diagnosed as pure seminoma. He received the prophylactic irradiation (45 Gy). Although venography two years after operation demonstrated the obstruction of the EPTFE graft and marked stenosis of the pericardial patch, the patient remains free from the symptom and is doing well without recurrence 45 months after operation.
Morisaki
Y
Y
Department of Surgery, Self Defense Force, Sapporo Hospital, Japan.
Takagi
K
K
Sano
S
S
Furuya
T
T
Ishikawa
M
M
Tanaka
S
S
D000328:Adult; D001807:Blood Vessel Prosthesis; D006801:Humans; D008168:Lung / Q000473:pathology; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D008722:Methods; D009361:Neoplasm Invasiveness; D010496:Pericardium / Q000473:pathology; D018239:Seminoma / Q000473:pathology / Q000601:surgery*; D014683:Vena Cava, Superior / Q000473:pathology / Q000601:surgery*