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Eur J Cardiothorac Surg 2008;34:673. doi:10.1016/j.ejcts.2008.05.039
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Mohsen Ibrahim
Erino Angelo Rendina
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Images in cardio-thoracic surgery

Superior vena cava replacement by the stapled pericardial conduit associated with double sleeve resection of the bronchus and pulmonary artery

Ilaria Pochesci*, Mohsen Ibrahim, Laura Gabriella Vismara, Erino Angelo Rendina

Divisions of Radiology and Thoracic Surgery, Ospedale Sant’Andrea, Università La Sapienza, Via di Grottarossa 1035, 00189 Roma, Italy

Received 4 April 2008; accepted 5 May 2008.

* Corresponding author. Address: Division of Radiology, Ospedale Sant’Andrea, Via di Grottarossa, 1035, 00189 Roma, Italy. Tel.: +39 06 33775386; fax: +39 06 33775208. (Email: ipochesci{at}yahoo.it).

Key Words: Superior vena cava replacement • CT imaging of superior vena cava replacement • Sleeve resection of the bronchus and pulmonary artery

A 71-year-old man presented with squamous-cell carcinoma involving the superior vena cava, upper lobe bronchus and pulmonary artery (Fig. 1 ). We performed SVC replacement by a stapled-pericardial conduit and a double sleeve-resection of the bronchus and pulmonary artery. One year later (Fig. 2 ) all anastomosis are patent and the patient is free from disease.


Figure 1
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  		Fig. 1. Computed tomography with injection of contrast material; volume rendering reconstruction. Preoperative images. A large tumor mass is evident in the right upper lobe associated with a tumor bud in the SVC (arrows) and a long thrombus in the left innominate vein (asterisk).

 

Figure 2
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  		Fig. 2. Computed tomography with injection of contrast material; volume rendering reconstruction. One-year postoperative images: (A) the full patency of the pulmonary artery and bronchus are demonstrated; the arrow indicates the pulmonary artery anastomosis and the arrowhead indicates the bronchial anastomosis. (B) Three-dimensional reconstruction showing excellent alignment and patency of the stapled SVC prosthesis (asterisk).

 





This Article
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Right arrow Email this article to a friend
Right arrow Similar articles in this journal
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Right arrow Author home page(s):
Mohsen Ibrahim
Erino Angelo Rendina
Right arrow Permission Requests
Google Scholar
Right arrow Articles by Pochesci, I.
Right arrow Articles by Rendina, E. A.
PubMed
Right arrow Articles by Pochesci, I.
Right arrow Articles by Rendina, E. A.
Related Collections
Right arrow Lung - cancer
Right arrow Trachea and bronchi

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