Jr. Roberts et al., RESECTION OF A PULMONARY MALIGNANCY INVADING THE INTRAPERICARDIAL INFERIOR VENA-CAVA, The Annals of thoracic surgery, 65(1), 1998, pp. 263-265
Citations number
12
Categorie Soggetti
Surgery,"Cardiac & Cardiovascular System","Respiratory System
Resection of extensive lung cancers invading thoracic vascular structu
res (T4 lesions) can yield long-term survival provided the margins and
nodes are free of tumor. We report the resection of the suprahepatic
inferior vena cava for direct tumor involvement by a pulmonary maligna
ncy. The resection was performed without bypass, and the cava was subs
equently reconstructed with a 22-mm-diameter Dacron graft. Patency was
documented on postoperative magnetic resonance angiograms. The patien
t was discharged home on postoperative day 10 without complications an
d remains well 8 months after the operation. Potentially curative rese
ctions and reconstructions of suprahepatic inferior vena cava involved
with pulmonary malignancies are possible and can be done without card
iopulmonary bypass. (C) 1998 by The Society of Thoracic Surgeons.