Document Detail

Great mediastinal vein reconstruction using autologous superficial femoral vein superficial femoral vein graft.
MedLine Citation:
PMID:  19017003     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIM: Great mediastinal veins may be reconstructed using autologous, synthetic, or allograft conduits. Autologous conduits have been found superior to other conduit options. The superficial femoral vein (SFV) offers excellent early patency, minimal lower limb morbidity, and ease of harvest without accessory suture lines. Although rarely used, the SFV provides an acceptable alternative for conduit in large vein reconstructions. METHODS: Two recent cases using SFV for great mediastinal vein reconstruction were reviewed and operative technique of vein harvest detailed. RESULTS: This is the first report of successful reconstruction of a left superior vena cava using SFV conduit. Both superior vena cava (SVC) reconstructions reported were perfectly patent at intermediate term follow-up (20 and 14 months) as determined by computed tomography angiogram or magnetic resonance imaging. CONCLUSIONS: Successful and durable reconstruction of the SVC or a persistent left subclavian vein is possible with minimal morbidity using the SFV.
Ehab Eshtaya; Jean-Francois Legare; John A Sullivan; Camille L Hancock Friesen
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  23     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  736-8     Citation Subset:  IM    
Division of Cardiac Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
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MeSH Terms
Cardiac Surgical Procedures*
Femoral Vein / surgery,  transplantation*
Magnetic Resonance Imaging
Mediastinum / blood supply*,  surgery*
Middle Aged
Prospective Studies
Transplantation, Autologous
Vascular Patency
Vena Cava, Superior / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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