Soonchunhyang Med Sci.  2011 Jun;17(1):42-44.

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

Affiliations
  • 1Department of Thoracic & Cardiovascular Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi, Korea. jwlee@sch.ac.kr
  • 2Department of Thoracic & Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
  • 3Department of Anesthesiology, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi, Korea.

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.

Keyword

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

MeSH Terms

Edema
Flushing
Follow-Up Studies
Granuloma, Plasma Cell
Humans
Hyperemia
Male
Pericardium
Physical Examination
Sternotomy
Stress, Psychological
Superior Vena Cava Syndrome
Thoracic Wall
Thorax
Upper Extremity
Vena Cava, Superior
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