title: Temporary extravascular shunt for reconstruction of a superior vena cava invaded by a lung tumor.
abstract: Advanced central lung cancers can invade the superior vena cava (SVC). Although the indications for resection of the vessel remain controversial, it has been suggested that it increases the long-term survival of selected patients; however, little consensus has been reached regarding the optimal method of vascular reconstruction. While the SVC is often replaced during unprotected cross-clamp, the placement of a temporary venous shunt with a view to preserve the periprocedural safety and facilitate the postoperative management seems preferable. We describe an SVC reconstruction procedure using an autologous pericardial patch and placement of a temporary extravascular shunt via a lateral thoracotomy.
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Yotsukura
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Tomonari
authors.initials: T
authors.lastname: Kinoshita
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan. Electronic address: i_kami@rc4.so-net.ne.jp.
authors.forename: Ikuo
authors.initials: I
authors.lastname: Kamiyama
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Tai
authors.initials: T
authors.lastname: Hato
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Taichiro
authors.initials: T
authors.lastname: Goto
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohtsuka
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yoshitake
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Mikihiko
authors.initials: M
authors.lastname: Kudo
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Mitsutomo
authors.initials: M
authors.lastname: Kohno
mesh_terms: D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy; D013908:Thoracotomy / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods*; D014683:Vena Cava, Superior / Q000473:pathology / Q000601:surgery*