Soonchunhyang Medical Science  2011;17(1):42-44

Bypass Using Autologous Pericardium in the Inflammatory Pseudotumor of the Superior Vena Cava.

Jae Wook LEE 1 ; Kang Seok BAEK ; Yong Soon WON ; Hwa Kyun SHIN ; Keun HER ; Dong Gi LEE

Affiliations

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Keywords

Superior vena cava syndrome; Inflammatory pseudotumor; Superior vena cava bypass

Country

Republic of Korea

Language

Korean

Abstract

Among the causes of superior vena cava (SVC) syndrome, intraluminal tumor, especially the inflammatory pseudotumor is very rare. We report a 33-year old male patient who had been suffering from facial edema and flushing for 3 weeks before admission. On physical examination, facial edema and venous engorgement on upper extremities and upper chest wall were showed. The chest computed tomography (CT) scan showed a long intraluminal mass lesion resulting in a near total obstruction of the SVC. Surgery was performed through median sternotomy. After complete resection of the tumor, we make bypass of SVC with autologous pericardium. The follow up chest CT scan revealed no abnormality 3 months after the operation.