Surgical Treatment of Benign Superior Vena Cava Syndrome

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Presentation transcript:

Surgical Treatment of Benign Superior Vena Cava Syndrome Michele Gallo, MD, Adam N. Protos, MD, Jaimin R. Trivedi, MD, MPH, Mark S. Slaughter, MD The Annals of Thoracic Surgery Volume 102, Issue 4, Pages e369-e371 (October 2016) DOI: 10.1016/j.athoracsur.2016.03.112 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperatively, patient presented with palpable left jugular vein distention with dilatation and tortuosity of veins of upper body. (B) Postoperatively, patient experienced relief of symptoms and regression of upper body swelling. (C) After 6 months, left jugular vein distention had disappeared. The Annals of Thoracic Surgery 2016 102, e369-e371DOI: (10.1016/j.athoracsur.2016.03.112) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Ultrasonographic imaging of venous system in neck confirms (A) jugular vein dilatation and (B) thrombosis. (Asterisk indicates thrombosis in jugular vein.) (C) Contrast venography shows type IV complete obstruction of superior vena cava and major caval tributaries including the azygos system. Previous multiple stents are completely occluded with no venographic opacification. (CA = carotid artery; RIV = right innominate vein.) The Annals of Thoracic Surgery 2016 102, e369-e371DOI: (10.1016/j.athoracsur.2016.03.112) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Intraoperatively, right internal jugular vein was measured as being 2 cm in diameter. (B) Bypass with 10-mm ring polytetrafluoroethylene was performed from right internal jugular vein (RIJV) to right atrial appendage (RAA). The Annals of Thoracic Surgery 2016 102, e369-e371DOI: (10.1016/j.athoracsur.2016.03.112) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions