Spiral Vein Bypass for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis

AUTOR(ES)
RESUMO

A 22-year-old man underwent palliative surgery for superior vena cava syndrome due to a benign obstructive process compatible with fibrosing mediastinitis. By using a spiral vein constructed from autologous saphenous vein, an innominate vein to the right atrial appendage shunt was created. This technique, which was first described experimentally in 19741and performed clinically in 19762, may warrant more liberal application in patients with superior vena cava syndrome caused by malignant and benign diseases.

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