Document Detail

Resection of a pulmonary malignancy invading the intrapericardial inferior vena cava.
MedLine Citation:
PMID:  9456136     Owner:  NLM     Status:  MEDLINE    
Resection of extensive lung cancers invading thoracic vascular structures (T4 lesions) can yield long-term survival provided the margins and nodes are free of tumor. We report the resection of the suprahepatic inferior vena cava for direct tumor involvement by a pulmonary malignancy. The resection was performed without bypass, and the cava was subsequently reconstructed with a 22-mm-diameter Dacron graft. Patency was documented on postoperative magnetic resonance angiograms. The patient was discharged home on postoperative day 10 without complications and remains well 8 months after the operation. Potentially curative resections and reconstructions of suprahepatic inferior vena cava involved with pulmonary malignancies are possible and can be done without cardiopulmonary bypass.
J R Roberts; P S Abbott; W R Smythe; J E Bavaria
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  65     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-25     Completed Date:  1998-02-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  263-5     Citation Subset:  AIM; IM    
Division of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, USA.
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MeSH Terms
Carcinoma, Squamous Cell / pathology,  surgery*
Lung Neoplasms / pathology,  surgery*
Middle Aged
Neoplasm Invasiveness
Vena Cava, Inferior / pathology,  surgery*

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