[Temporary Bypass with 5-Fr Catheter for Reconstruction of Superior Vena Cava]

Kyobu Geka. 2018 Dec;71(13):1077-1080.
[Article in Japanese]

Abstract

A 21-year-old man was referred to our hospital because of an abnormal shadow on a routine chest radiogram. Enhanced computed tomography showed an 83×74 mm mass in the anterior mediastinum, with invasion of the superior vena cava (SVC). Surgical resection with sternotomy was performed. Intraoperative temporary bypass grafting with a 5-Fr catheter was performed between the right brachiocephalic vein and right atrium. The mediastinal tumor was resected with the SVC, and SVC reconstruction with a 16 mm expanded polytetrafluoroethylene graft was performed. The bypass stabilized intraoperative vital signs and enabled safe completion of the operation. The pathological diagnosis was seminoma. SVC replacement combined with temporary bypass using a small diameter catheter is technically feasible and safe.

Publication types

  • Case Reports

MeSH terms

  • Blood Vessel Prosthesis
  • Brachiocephalic Veins / surgery
  • Heart Atria / surgery
  • Humans
  • Male
  • Mediastinal Neoplasms / diagnostic imaging
  • Mediastinal Neoplasms / surgery*
  • Plastic Surgery Procedures
  • Polytetrafluoroethylene
  • Seminoma / diagnostic imaging
  • Seminoma / surgery*
  • Vascular Surgical Procedures
  • Vena Cava, Superior / surgery*
  • Young Adult

Substances

  • Polytetrafluoroethylene