Reconstruction of a resected subclavian vein by transposition of the ipsilateral internal jugular vein Michel Gonzalez, MD, Sébastien Déglise, MD, Hans-Beat.

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Presentation transcript:

Reconstruction of a resected subclavian vein by transposition of the ipsilateral internal jugular vein Michel Gonzalez, MD, Sébastien Déglise, MD, Hans-Beat Ris, MD, Jean-Marc Corpataux, MD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 5, Pages 1198-1199 (November 2010) DOI: 10.1016/j.jtcvs.2010.05.041 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Cervical computed tomographic scan showing a left encapsulated hypodense mass of 3 cm in diameter, localized between the left clavicle and the first rib and compressing the middle portion of the subclavian vein. IJV, Internal jugular vein; SV, subclavian vein; Tu, tumor mass; Cl, clavicle; 1st, first rib. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1198-1199DOI: (10.1016/j.jtcvs.2010.05.041) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Schematic description of the technique of transposition of the internal jugular vein to the axillary vein after subclavian vein resection. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1198-1199DOI: (10.1016/j.jtcvs.2010.05.041) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Intraoperative view after en bloc resection of the first rib, the left clavicle, and the subclavian vein. The subclavian artery and the brachial plexus have been dissected and preserved, but all fatty and lymphatic tissue have been removed. End-to-end anastomosis (An) between the internal jugular vein transposed and the axillary vein. IJV, Internal jugular vein; SA, subclavian artery; BP, brachial plexus. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1198-1199DOI: (10.1016/j.jtcvs.2010.05.041) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions