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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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CASE REPORTS  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2002 Febbraio;43(1):91-3

lingua: Inglese

Thrombectomy and SVC reconstruction due to infective thrombus

Uwabe K., Kurihara H., Komiyama S., Yoshida I.

From the Department of Cardiovascular Surgery and Cardiology, Hokuto Hospital, Obihiro, Japan


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We ­report a ­case of throm­bec­to­my and recon­struc­tion of super­i­or ­vena ­cava (SVC) in a ­patient pre­sent­ing sep­sis and SVC syn­drome by infec­tive throm­bus. A 58-­year-old wom­an pre­sent­ed sep­sis and ede­ma of the ­neck and ­left ­upper extrem­ity dur­ing treat­ment of mul­ti­ple ­organ fail­ure. Sepsis by Serratia per­sist­ed in ­spite of appro­pri­ate anti­bi­o­tic treat­ment. Computed tomog­ra­phy of the ­chest ­revealed throm­bi ­that nar­rowed the SVC ­with obstruc­tion of the ­left brach­i­oc­e­phal­ic ­vein. Removal of the infec­tive throm­bi fol­lowed by SVC recon­struc­tion ­with autol­o­gous per­i­car­dial ­patch was per­formed. Postoperative peri­od ­remained unevent­ful.

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