title: Aortic arch homograft as a bypass conduit for superior vena cava obstruction.
abstract: Superior vena cava (SVC) obstruction most commonly results from malignant disease of the superior mediastinum, which is amenable to percutaneous stenting. Superior vena cava syndrome can also be caused by transvenous pacemaker electrodes and indwelling venous catheters, when it may be refractory to minimally invasive treatment. We report 2 patients with superior vena cava obstruction treated successfully by a surgical bypass approach using cryopreserved aortic arch homografts.
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, United Kingdom. stephenbilling@hotmail.com
authors.forename: J Stephen
authors.initials: JS
authors.lastname: Billing
authors.forename: Catherine D
authors.initials: CD
authors.lastname: Sudarshan
authors.forename: Peter M
authors.initials: PM
authors.lastname: Schofield
authors.forename: Francis
authors.initials: F
authors.lastname: Murgatroyd
authors.forename: Francis C
authors.initials: FC
authors.lastname: Wells
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013479:Superior Vena Cava Syndrome / Q000601:surgery*; D014184:Transplantation, Homologous