[A case of the old injured vena cava superior found during the operation of lung cancer].
We operated a 78-year-old male with lung cancer and unstable angina pectoris. During the operation of right upper lobe, a mass, with size of 2 cm in diameter was detected on the right postero-lateral side of the superior vena cava, and was resected. Postoperative pathological examination suggested that the mass resulted from an injury made by a Swan-Ganz catheter used before operation. Thus, as insertion of a Swan-Ganz catheter through the right subclavian vein may involve risk, so we concluded that the right internal jugular vein or femoral vein may be preferable as a route of first choice for insertion.
Gotoh
N
N
Department of Thoracic Surgery, Kawasaki Kyodo Hospital, Japan.
Morita
H
H
Ishikawa
H
H
Shiokawa
A
A
Takimoto
M
M
Yoshimura
H
H
D000368:Aged; D000789:Angina, Unstable / Q000150:complications; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D014683:Vena Cava, Superior / Q000293:injuries*