Resection of the superior vena cava for primary lung cancer: 5 years' survival

Inoué, Hiroshi; Shohtsu, Akira; Koide, Shirosaku; Ogawa, Jun–ichi; Inoue, H

doi:10.1016/0003-4975(90)90213-p

Cited by 24 publications

(7 citation statements)

References 6 publications

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“…Initial reports regarding patients with NSCLC and direct SVC invasion revealed only anecdotal long-term survivors, and were usually published as case reports [8,9]. The Memorial Sloan-Kettering Cancer Center group was among the first to report experience with a series of patients, describing 18 patients who underwent SVC resection due to NSCLC invasion.…”

Section: Commentmentioning

confidence: 99%

15 years single center experience with surgical resection of the superior vena cava for non-small cell lung cancer

et al. 2004

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Section: Commentmentioning

confidence: 99%

15 years single center experience with surgical resection of the superior vena cava for non-small cell lung cancer

et al. 2004

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“…However, in the 1970s and 1980s, experimental animal research and clinical case reports demonstrated the technical feasibility of such an extended surgery for mediastinal and pulmonary malignancies, resulting in long-term survival in some instances [2][3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Results of superior vena cava resection for lung cancer

Spaggiari

Magdeleinat

Kondo³

et al. 2004

Lung Cancer

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“…Accidental ligation of SVC during pneumonectomy for tuberculosis has also been reported to be tolerated for a few hours before being noticed and reoperated for SVC reconstruction [18]. Modern anesthesia has allowed both SVC and AzV occlusion to be tolerated only upto 45 minutes in clinical practice as longer period of clamping can produce brain damage specially when AzV is ligated [17], though there are anecdotal reports of 115 minutes of successful SVC and AzV clamping during reconstruction [19]. A VA shunt would be a safe option during prolonged clamping.…”

Section: Maintaining the Azygos Flowmentioning

confidence: 99%

Management of an accidental superior vena caval transection during a right pneumonectomy- A case report and assessment of different management options with review of literature

2015

Glob Anaesth Perioper Med

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We present a rare case of management of accidental transection of superior vena cava (SVC) during a right sided pneumonectomy for a tuberculous destroyed lung in an eighteen year old girl. While dissecting the right pulmonary artery (RPA) in a densely adherent and grossly distorted field for a planned right pneumonectomy, the SVC got transected resulting in torrential hemorrhage and severe hypotension. The ragged ends of the SVC were clamped. Fluids and inotropes were directly transfused into the right atrium (RA) which was exposed by opening the pericardium. Soon, the mean arterial pressure (MAP) could be stabilized around 50 mm Hg which had dropped to 25 mm Hg. To protect the brain from effects of increased intra cranial venous hypertension (ICVH) due to SVC clamping, the head end of the table was elevated, injection thiopentone (1000 mg) was given directly into RA and the head was wrapped with ice bags. Since the cut ends of the SVC was far apart and ragged, we could not bring them together for an end to end anastomosis. After heparinisation, a SVC to RA veno atrial (VA) shunt using venous cannulae was made and the SVC remained clamped for 20 minutes. With the establishment of the shunt, MAP increased to 80mm Hg. Pneumonectomy was completed. Since no graft could be procured, the upper end of the SVC was anastomosed end to end with the cut end of the RPA and the lower end of SVC towards the RA was closed. Post operative recovery was uneventful and the girl is doing well 6 years after the procedure. Angiograms have shown a patent SVC to RPA anastomosis with a substantial retrograde flow through the intact azygos vein (AzV).

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Resection of the superior vena cava for primary lung cancer: 5 years' survival

Cited by 24 publications

References 6 publications

15 years single center experience with surgical resection of the superior vena cava for non-small cell lung cancer

15 years single center experience with surgical resection of the superior vena cava for non-small cell lung cancer

Results of superior vena cava resection for lung cancer

Management of an accidental superior vena caval transection during a right pneumonectomy- A case report and assessment of different management options with review of literature

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