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
Hauptverfasser: Miller, J D, Kinley, C E
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container_title Canadian journal of surgery
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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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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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