Superior Vena Gava Reconstruction Using An Iliocaval Allograft: A Case Report

Robert Y. Rhee, Peter Gloviczki, Jeffrey L. Steers, Ruud A.F. Krom, Kazuo Kitabayashi, Russell H. Wiesner

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2 Scopus citations

Abstract

Successful replacements of the superior vena cava (SVC) using autogenous saphenous or superficial femoral vein or prosthetic grafts have been previously performed, but the use of allograft for treatment of SVC syndrome has not been reported. The patient treated by the authors was a forty-one-year-old woman who presented with severe venous congestion of the head and neck caused by fibrosing mediastinitis. In addition, she had sclerosing cholangitis and chronic liver failure. To treat her SVC syndrome and provide access for fluid and blood transfusion and for possible venovenous bypass, SVC reconstruction was performed concomitant to orthotopic liver transplantation. A left innominate vein-right atrial bypass was inserted using an iliocaval allograft. The patient had an uncomplicated recovery, and at six months after surgery her SVC allograft is widely patent and her transplanted liver is functioning well. The venous allograft is an excellent conduit for those patients who are receiving immunosuppression therapy to avoid rejection of a transplanted organ.

Original languageEnglish (US)
Pages (from-to)77-83
Number of pages7
JournalVascular and Endovascular Surgery
Volume30
Issue number1
StatePublished - Jan 1 1996

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Rhee, R. Y., Gloviczki, P., Steers, J. L., Krom, R. A. F., Kitabayashi, K., & Wiesner, R. H. (1996). Superior Vena Gava Reconstruction Using An Iliocaval Allograft: A Case Report. Vascular and Endovascular Surgery, 30(1), 77-83.