Document Detail


Management of superior vena cava syndrome by internal jugular to femoral vein bypass.
MedLine Citation:
PMID:  16798237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a 30-year-old man with superior vena cava syndrome due to fibrosis from a previously irradiated malignant thymoma. The patient presented 4 years after the initial treatment, after having been lost to follow-up. Investigations revealed total obstruction of the superior vena cava, and right subclavian and right internal jugular vein. The patient underwent an extra-anatomic bypass (ringed polytetrafluoroethylene graft 10-mm diameter) between the left internal jugular vein and the left femoral vein brought in a subcutaneous tunnel over the anterior chest and abdominal wall. Entry to the thoracic cavity was avoided due to extensive fibrotic changes visualized in the computed tomographic chest scan. Follow-up Doppler at 2 months, 6 months, 1 year, and 3 years showed a patent graft. An internal jugular vein to the femoral vein bypass is a simple method for palliation of superior vena cava syndrome.
Authors:
Rajinder Singh Dhaliwal; Debasis Das; Suvitesh Luthra; Jaswinder Singh; Sudhir Mehta; Harkant Singh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  82     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-26     Completed Date:  2006-08-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  310-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, PIN, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Vessel Prosthesis Implantation*
Femoral Vein / surgery*
Fibrosis
Follow-Up Studies
Humans
Jugular Veins / pathology,  surgery*
Male
Palliative Care
Polytetrafluoroethylene
Prostheses and Implants
Radiation Injuries / etiology,  surgery*
Radiotherapy / adverse effects
Subclavian Artery / pathology
Superior Vena Cava Syndrome / surgery*
Thymoma / radiotherapy
Thymus Neoplasms / radiotherapy
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

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


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