Cross-Vascular Graft Reconstruction for Lung Cancer Involving the Upper Superior Vena Cava.

Kitade N; Kitamura N; Yokoyama R; Ojima T; Miyoshi N; Tsuchiya T

doi:10.1016/j.atssr.2025.05.012

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Cross-Vascular Graft Reconstruction for Lung Cancer Involving the Upper Superior Vena Cava.

Annals of thoracic surgery short reports 2025 Vol.3(4) p. 897-900

Kitade N, Kitamura N, Yokoyama R, Ojima T, Miyoshi N, Tsuchiya T

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We report a patient with a case of lung cancer invading the right brachiocephalic vein (BCV) and superior vena cava (SVC) that was managed with single prosthetic graft reconstruction.

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APA Kitade N, Kitamura N, et al. (2025). Cross-Vascular Graft Reconstruction for Lung Cancer Involving the Upper Superior Vena Cava.. Annals of thoracic surgery short reports, 3(4), 897-900. https://doi.org/10.1016/j.atssr.2025.05.012

MLA Kitade N, et al.. "Cross-Vascular Graft Reconstruction for Lung Cancer Involving the Upper Superior Vena Cava.." Annals of thoracic surgery short reports, vol. 3, no. 4, 2025, pp. 897-900.

PMID 41425394

DOI 10.1016/j.atssr.2025.05.012

Abstract

We report a patient with a case of lung cancer invading the right brachiocephalic vein (BCV) and superior vena cava (SVC) that was managed with single prosthetic graft reconstruction. A 63-year-old patient with stage IIIA squamous cell carcinoma underwent right upper and middle lobectomy, rib resection, and vascular reconstruction after neoadjuvant chemoradiotherapy. The right BCV was clamped and transected, and the SVC was stapled obliquely at its bifurcation. A polytetrafluoroethylene graft was interposed from the right BCV to the right atrium, preserving SVC flow without cross-clamping. This technique minimized hemodynamic instability and reduced the risk of graft occlusion in tumors involving the upper SVC.