Spiral vein graft for obstruction of the superior vena cava: a case report
Catheter-induced superior vena caval thrombosis is a rare complication of the placement of transvenous pacemakers. The authors report such a case in a 44-year-old man. A composite spiral graft of saphenous vein was used to bypass the obstruction. It was anastomosed end to side to the innominate vein...
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Veröffentlicht in: | Canadian journal of surgery 1983-11, Vol.26 (6), p.537-538 |
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creator | Miller, J D Kinley, C E |
description | Catheter-induced superior vena caval thrombosis is a rare complication of the placement of transvenous pacemakers. The authors report such a case in a 44-year-old man. A composite spiral graft of saphenous vein was used to bypass the obstruction. It was anastomosed end to side to the innominate vein and then to the right atrial appendage. The patient improved remarkably immediately after the operation and had an uncomplicated postoperative course. The authors discuss the surgical technique involved and recommend for this rare condition an initial trial of anticoagulant therapy followed by bypass grafting, using the technique they describe, if anticoagulation fails. |
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The authors report such a case in a 44-year-old man. A composite spiral graft of saphenous vein was used to bypass the obstruction. It was anastomosed end to side to the innominate vein and then to the right atrial appendage. The patient improved remarkably immediately after the operation and had an uncomplicated postoperative course. The authors discuss the surgical technique involved and recommend for this rare condition an initial trial of anticoagulant therapy followed by bypass grafting, using the technique they describe, if anticoagulation fails.</description><identifier>ISSN: 0008-428X</identifier><identifier>PMID: 6627147</identifier><language>eng</language><publisher>Canada</publisher><subject>Adult ; Blood Vessel Prosthesis ; Humans ; Male ; Pacemaker, Artificial - adverse effects ; Saphenous Vein - transplantation ; Thrombosis - etiology ; Thrombosis - surgery ; Vena Cava, Superior</subject><ispartof>Canadian journal of surgery, 1983-11, Vol.26 (6), p.537-538</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6627147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miller, J D</creatorcontrib><creatorcontrib>Kinley, C E</creatorcontrib><title>Spiral vein graft for obstruction of the superior vena cava: a case report</title><title>Canadian journal of surgery</title><addtitle>Can J Surg</addtitle><description>Catheter-induced superior vena caval thrombosis is a rare complication of the placement of transvenous pacemakers. The authors report such a case in a 44-year-old man. A composite spiral graft of saphenous vein was used to bypass the obstruction. It was anastomosed end to side to the innominate vein and then to the right atrial appendage. The patient improved remarkably immediately after the operation and had an uncomplicated postoperative course. The authors discuss the surgical technique involved and recommend for this rare condition an initial trial of anticoagulant therapy followed by bypass grafting, using the technique they describe, if anticoagulation fails.</description><subject>Adult</subject><subject>Blood Vessel Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Pacemaker, Artificial - adverse effects</subject><subject>Saphenous Vein - transplantation</subject><subject>Thrombosis - etiology</subject><subject>Thrombosis - surgery</subject><subject>Vena Cava, Superior</subject><issn>0008-428X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotj0tLxDAURrNQxnH0JwhZuSvcNukj7mTwMTLgQgV35Sa90UrbxCQt-O8dcVZn8R0OfCdsDQBNJovm_Yydx_gFkIOQasVWVVXUuazX7OnF9wEHvlA_8Y-ANnHrAnc6pjCb1LuJO8vTJ_E4ewr9YVtoQm5wwRv-x0g8kHchXbBTi0OkyyM37O3-7nX7mO2fH3bb233mC6hSloPuSEkJlTaoOoFSlCrvUAmNjcKikmTJKjRGg9KNLptaF2grKayVdSnFhl3_d31w3zPF1I59NDQMOJGbY9tADVCq4iBeHcVZj9S1PvQjhp_2eF78AgxnVVk</recordid><startdate>198311</startdate><enddate>198311</enddate><creator>Miller, J D</creator><creator>Kinley, C E</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198311</creationdate><title>Spiral vein graft for obstruction of the superior vena cava: a case report</title><author>Miller, J D ; Kinley, C E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p206t-10bde94406bca9d3a43591da93ba89a264efef9accb09b8b587b2af643ff47543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adult</topic><topic>Blood Vessel Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Pacemaker, Artificial - adverse effects</topic><topic>Saphenous Vein - transplantation</topic><topic>Thrombosis - etiology</topic><topic>Thrombosis - surgery</topic><topic>Vena Cava, Superior</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, J D</creatorcontrib><creatorcontrib>Kinley, C E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, J D</au><au>Kinley, C E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spiral vein graft for obstruction of the superior vena cava: a case report</atitle><jtitle>Canadian journal of surgery</jtitle><addtitle>Can J Surg</addtitle><date>1983-11</date><risdate>1983</risdate><volume>26</volume><issue>6</issue><spage>537</spage><epage>538</epage><pages>537-538</pages><issn>0008-428X</issn><abstract>Catheter-induced superior vena caval thrombosis is a rare complication of the placement of transvenous pacemakers. The authors report such a case in a 44-year-old man. A composite spiral graft of saphenous vein was used to bypass the obstruction. It was anastomosed end to side to the innominate vein and then to the right atrial appendage. The patient improved remarkably immediately after the operation and had an uncomplicated postoperative course. The authors discuss the surgical technique involved and recommend for this rare condition an initial trial of anticoagulant therapy followed by bypass grafting, using the technique they describe, if anticoagulation fails.</abstract><cop>Canada</cop><pmid>6627147</pmid><tpages>2</tpages></addata></record> |
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language | eng |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Adult Blood Vessel Prosthesis Humans Male Pacemaker, Artificial - adverse effects Saphenous Vein - transplantation Thrombosis - etiology Thrombosis - surgery Vena Cava, Superior |
title | Spiral vein graft for obstruction of the superior vena cava: a case report |
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