[Superior vena cava reconstruction combined with resection of mediastinal-pulmonary malignant tumors].
Kyobu Geka
; 52(1): 25-9, 1999 Jan.
Article
em Ja
| MEDLINE
| ID: mdl-10024798
ABSTRACT
From 1988 to 1997, we experienced 5 cases of the superior vena cava (SVC) replacement with expanded polytetrafluoroethylene (ePTFE) grafts combined with resection of mediastinal or pulmonary malignant tumors. Two patients had lung cancer and three had invasive thymoma. Resection and reconstruction of the superior vena cava (SVC) were performed by application of a bypass graft between the innominate vein and the right atrium in two cases and a temporary bypass using a heparin-coated tube in three cases. Except in one patient who died of acute respiratory failure, no complication or occlusive symptom were observed postoperatively. Two patients remain healthy for 5 years 4 months and 2 years 7 months after operation. Three died 9 years, 5 months, and 110 days after operation respectively. In conclusion, ePTFE graft replacement or patch angioplasty of the SVC should be part of planning and execution of radical excision with curative intent of mediastinal or pulmonary malignant tumors.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veia Cava Superior
/
Implante de Prótese Vascular
/
Procedimentos de Cirurgia Plástica
/
Neoplasias Pulmonares
/
Neoplasias do Mediastino
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Japão