Management of superior vena cava obstruction syndrome due to thrombosis of a Contegra conduit used to re-establish the innominate vein-to-right atrium continuity.
Following intraoperative superior vena cava injury, venous drainage of the head, neck and upper extremities can be re-established with bovine jugular vein (Contegra) conduits. Inadequate anticoagulation, however, may lead to conduit thrombosis and superior vena cava obstruction syndrome. This can be successfully treated with percutaneous dilatation and stenting of the failed conduit.
Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Rd, Leicester LE3 9QP, UK. Gangzoom@yahoo.co.uk
Gang
G
Xu
Christos
C
Alexiou
Magdi
M
Tofeig
Tomasz J
TJ
Spyt
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D016121:Brachiocephalic Veins / Q000293:injuries / Q000601:surgery*; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000601:surgery*; D013927:Thrombosis / Q000150:complications* / Q000188:drug therapy
D000925:Anticoagulants