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The Annals of Thoracic Surgery, Vol 46, 239-241, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Management of recurrent superior vena caval syndrome with an externally supported femoral vein bypass graft

WG Marshall Jr and NT Kouchoukos
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, MO.

Management of superior vena caval syndrome with an autogenous vein bypass graft can be complicated by occlusion of the bypass graft. The case of a patient with recurrent superior vena caval syndrome due to occlusion of a spiraled saphenous vein graft who was managed with a femoral vein graft supported externally by a sleeve of ringed polytetrafluoroethylene is presented. A venogram demonstrated patency of the graft 11 months postoperatively, and the patient remains free from clinically apparent superior vena caval obstruction 18 months postoperatively.

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