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Surgical Treatment of Superior Vena Cava Syndrome Caused by Hemodialysis Catheter - Report of 2 cases-  

Cho Yang Hyun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Ryu Se Min (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Kim Hyun Koo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Sim Jae Hoon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Kim Hark Jar (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Choi Young Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Sohn Young-Sang (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
Publication Information
Journal of Chest Surgery / v.38, no.1, 2005 , pp. 67-71 More about this Journal
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.
Keywords
Superior vena cava syndrome; Venous disease; Hemodialysis;
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