Temporary extravascular shunt for reconstruction of a superior vena cava invaded by a lung tumor

Masaya Yotsukura, Tomonari Kinoshita, Ikuo Kamiyama, Tai Hato, Taichiro Goto, Takashi Ohtsuka, Akihiro Yoshitake, Mikihiko Kudo, Mitsutomo Kohno

Research output: Contribution to journalArticle

Abstract

Advanced central lung cancers can invade the superior vena cava (SVC). Although the indications for resection of the vessel remain controversial, it has been suggested that it increases the long-term survival of selected patients; however, little consensus has been reached regarding the optimal method of vascular reconstruction. While the SVC is often replaced during unprotected cross-clamp, the placement of a temporary venous shunt with a view to preserve the periprocedural safety and facilitate the postoperative management seems preferable. We describe an SVC reconstruction procedure using an autologous pericardial patch and placement of a temporary extravascular shunt via a lateral thoracotomy.

Original languageEnglish
Pages (from-to)2242-2243
Number of pages2
JournalAnnals of Thoracic Surgery
Volume98
Issue number6
DOIs
Publication statusPublished - 2014 Dec 1

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Yotsukura, M., Kinoshita, T., Kamiyama, I., Hato, T., Goto, T., Ohtsuka, T., Yoshitake, A., Kudo, M., & Kohno, M. (2014). Temporary extravascular shunt for reconstruction of a superior vena cava invaded by a lung tumor. Annals of Thoracic Surgery, 98(6), 2242-2243. https://doi.org/10.1016/j.athoracsur.2014.06.078