title: Prosthetic azygo-atrial bypass for palliation of superior vena cava syndrome.
abstract: We report a case of locally advanced excavated non-small cell lung cancer with superior vena cava (SVC) syndrome that underwent four cycles of induction chemotherapy. Due to early treatment failure and the impossibility applying radical radiotherapy, a decision was made to perform surgery. The patient underwent right intrapericardial pneumonectomy with en-bloc resection of the SVC, azygos vein and mediastinal lymph nodes. Prosthetic azygo-atrial bypass was then performed. The patient enjoys one year progression-free survival with patent graft and symptomatic relief of SVC syndrome.
authors.affiliation: Department of Thoracic and Cardiovascular Sciences, Division of Thoracic Surgery, University of Padua, Padua, Italy. drdurkovicsava@gmail.com
authors.forename: Sava
authors.initials: S
authors.lastname: Durkovic
authors.forename: Francesco
authors.initials: F
authors.lastname: Di Chiara
authors.forename: Federico
authors.initials: F
authors.lastname: Rea
mesh_terms: D001401:Azygos Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002289:Carcinoma, Non-Small-Cell Lung / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000379:methods; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed