ArticleAnnals of thoracic surgery short reports2025
Cross-Vascular Graft Reconstruction for Lung Cancer Involving the Upper Superior Vena Cava.
Article in Annals of thoracic surgery short reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
We report a patient with a case of lung cancer invading the right brachiocephalic vein (BCV) and superior vena cava (SVC) that was managed with single prosthetic graft reconstruction. A 63-year-old patient with stage IIIA squamous cell carcinoma underwent right upper and middle lobectomy, rib resection, and vascular reconstruction after neoadjuvant chemoradiotherapy. The right BCV was clamped and transected, and the SVC was stapled obliquely at its bifurcation. A polytetrafluoroethylene graft was interposed from the right BCV to the right atrium, preserving SVC flow without cross-clamping. This technique minimized hemodynamic instability and reduced the risk of graft occlusion in tumors involving the upper SVC.
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