Reconstruction of the superior vena cava with the aid of an extraluminal venovenous jugulo-atrial shunt.
A 57-year-old woman had chronic benign superior vena cava syndrome related to the long-term use of multiple central venous catheters for chemotherapy. Treatment included resection of the obstructed segment and repair of the superior vena cava with an autologous pericardial patch. Intraoperatively, return venous flow was maintained with an extraluminal venovenous jugulo-atrial shunt. The shunt relieved upper-body hypertension and congestion, resulting in early extubation and a short, smooth postoperative course.
Singh
S
S
Department of Thoracic and Cardiovascular Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston 77030, USA.
Sherif
H
H
Reul
G J
GJ
D002405:Catheterization, Central Venous / Q000009:adverse effects; D005260:Female; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*