title: Radiation-induced superior vena cava syndrome.
abstract: A 59-year-old man developed superior vena caval obstruction 20 years after receiving a radiation treatment for primary germinal cell tumor of the mediastinum. Venous decompression was achieved by anastomosing a 10-mm ringed polytetrafluoroethylene graft from the left internal jugular vein to the right atrium, which yielded immediate relief of symptoms. A left internal jugular venogram demonstrated graft patency 11 months post-operatively, and the patient remained free of symptoms of superior vena caval obstruction 29 months postoperatively.
authors.affiliation: Department of Surgery, St. Joseph's Hospital & Medical Center, USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Lee
authors.forename: R
authors.initials: R
authors.lastname: Doering
authors.forename: A
authors.initials: A
authors.lastname: Jihayel
mesh_terms: D003037:Cobalt Radioisotopes / Q000009:adverse effects / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000532:radiotherapy* / Q000601:surgery; D010690:Phlebography; D011832:Radiation Injuries / Q000209:etiology* / Q000601:surgery; D011867:Radioisotope Teletherapy; D013479:Superior Vena Cava Syndrome / Q000209:etiology* / Q000601:surgery; D014683:Vena Cava, Superior / Q000528:radiation effects*
chemical_list: D003037:Cobalt Radioisotopes