Surgical Treatment of Superior Vena Cava Syndrome Caused by Hemodialysis Catheter: Report of 2 cases / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 67-71, 2005.
Article
in Ko
| WPRIM
| ID: wpr-100642
Responsible library:
WPRO
ABSTRACT
The major etiology of superior vena cava (SVC) syndrome is malignancy. Radiologic endovascular intervention is the treatment of choice for patients with SVC syndrome due to malignant disease, which is unresponsive to radiation therapy and chemotherapy. However, it is not clear whether endovascular intervention can replace open surgery as the primary method of management of benign SVC syndrome. We report two cases of benign SVC syndrome resulting from dialysis catheters placed in the central veins. One patient underwent bypass surgery between innominate vein and right atrium by expanded polytetrafluoroethylene. Another patient had large thrombi in SVC and other central veins. We removed them under cardiopulmonary bypass to prevent pulmonary embolism, and SVC was repaired and augmented by autologous pericardium. Prompt symptomatic relief and angiographic improvements of collateral flow were achieved in both patients.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pericardium
/
Polytetrafluoroethylene
/
Pulmonary Embolism
/
Veins
/
Vena Cava, Superior
/
Superior Vena Cava Syndrome
/
Cardiopulmonary Bypass
/
Brachiocephalic Veins
/
Renal Dialysis
/
Dialysis
Limits:
Humans
Language:
Ko
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2005
Type:
Article