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The Journal of Cardiovascular Surgery 2000 June;41(3):499-501

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Superior vena cava syndrome caused by invasive epidermoid carcinoma

Halkic N., Henchoz L., Gintzburger D., Nordback P., Ksontini R., Boumghar M.

From the Service de Chirurgie CHUV, Lausanne, Switzerland


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Lung can­cer is the ­most fre­quent ­cause of super­i­or ­vena ­cava (SVC) syn­drome. Malignant SVC syn­drome is gen­er­al­ly con­sid­ered a con­tra­in­di­ca­tion to cura­tive resec­tion, ­although pal­li­a­tive bypass­es are ­done for symp­toms ­that do not ­respond to med­i­cal ther­a­py. However, a major­ity of ­patients ­with ­such ­advanced dis­ease die of com­pli­ca­tions ­caused by the pri­mary ­tumor rath­er ­than dis­tant metas­ta­sis. We ­present the ­case of one ­patient ­with ­lung can­cer invad­ing the med­i­as­ti­nal struc­tures. Combined resec­tion and re­place­ment of the SVC ­with a seg­ment of Dacron vas­cu­lar ­graft was per­formed. Postoperative sur­vi­val ­time was 24 ­months.

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