A case of acute superior vena caval obstruction after right sleeve pneumonectomy and partial resection of superior vena cava

DOI Open Access

Bibliographic Information

Other Title
  • Sleeve Pneumonectomy後に発生した急性上大静脈閉塞の一例
  • Use of temporary external jugular-femoral vein bypass
  • 外頸静脈・大腿静脈一時的体外バイパスの使用経験

Search this article

Description

A-62-year old male with squamous cell carcinoma of the right lung underwent sleeve pneumonectomy and partial resection of the superior vena cava.<BR>On the day of operation and on the seventh postoperative day, the patient developed sudden hypotension accompanied by cyanosis, facial edema and unconsciousness. At the time of the first episode, conservative treatment was successful, but after the second, the patient's condition continued to deteriorate. Thrombectomy of the superior vena cava was performed with saphenous vein patch grafting.<BR>Prior to this operation, an external jugular-femoral vein bypass was placed with the use of a 16Fr. needle and hemodialysis system. During this procedure, the patient's condition improved immediately and r operation was performed safely.<BR>We feel that this method is useful in the treatment of acute and progressive superior vena caval obstruction. The surgical indications and intervention for advanced pulmonary or mediastinal carcinoma with involvement of the superior vena cava must be considered carefully.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390282679328683008
  • NII Article ID
    130003653336
  • DOI
    10.2995/jacsurg1987.2.71
  • ISSN
    18841724
    09174141
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
    • OpenAIRE
  • Abstract License Flag
    Disallowed

Report a problem

Back to top