The Japanese Journal of Thoracic Surgery Volume 71, Issue 13 (December 2018)

Temporary Bypass with 5-Fr Catheter for Reconstruction of Superior Vena Cava Nahoko Shimizu 1 , Yugo Tanaka 1 , Sanae Kuroda 1 , Hayate Nakamura 1 , Gaku Matsumoto 1 , Suguru Mitsui 1 , Shuto Sakai 1 , Kazuhiro Minami 1 , Kenji Kimura 1 , Takeshi Okamoto 1 , Daisuke Hokka 1 , Yoshimasa Maniwa 1 1Division of Thoracic Surgery, Kobe University Keyword: superior vena cava (SVC) invasion , mediastinal tumor , temporary bypass pp.1077-1080
Published Date 2018/12/1
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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.

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71巻13号 (2018年12月)
電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂