Bilateral Brachiocephalic Vein and Superior Vena Cava Reconstruction With an Aortic Allograft.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31233724.
- Also identified by DOI 10.1016/j.athoracsur.2019.04.102.
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Abstract
Malignant thymoma can be invasive and may require radical resection. Here we present a case with phrenic nerve, right upper lobe, bilateral brachiocephalic vein, and superior vena cava involvement. Total venous reconstruction was performed with a cryopreserved aortic allograft by using the aortic root, ongoing transverse arch, and innominate arterial branch. The patient then had postoperative radiotherapy for a total of 63 Gy over 35 treatment days. Follow-up imaging demonstrated no evidence of recurrence and intermediate-term patency but with homograft calcification developing at 4 years.
Medical subject headings
- Aorta
- Brachiocephalic Veins
- Vascular Neoplasms
- Vena Cava, Superior