Superior vena cava reconstruction via a posterolateral thoracotomy without venous occlusion for locally advanced lung cancer: report of a case.
We performed a right upper lobectomy with prosthetic replacement of the superior vena cava (SVC) through a posterolateral thoracotomy in a 65-year-old man undergoing complete resection of a locally advanced non-small-cell lung cancer with invasion of the SVC. Instead of using a vascular shunt, the right atrium and a right brachiocephalic vein (BCV) were anastomosed using a ringed polytetrafluoroethylene (PTFE) graft. During the anastomosis, vascular flow was maintained through the left BCV. By using this technique, SVC resection and reconstruction during lung cancer surgery can be safely performed through a posterolateral thoracotomy without blood flow interruption.
Shinohara
Hirohiko
H
Divisions of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan.
Tsuchida
Masanori
M
Hashimoto
Takehisa
T
Satoh
Seijirou
S
Takeuchi
Ai
A
Takeshige
Mariko
M
Hayashi
Jun-ichi
J
D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy / Q000379:methods; D013908:Thoracotomy; D014680:Veins; D014683:Vena Cava, Superior / Q000473:pathology / Q000601:surgery*