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2012, Number 5

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Cir Cir 2012; 80 (5)

Superior vena cava replacement with autologous pericardial conduit in redo cardiac surgery

García-Villarreal OA

Language: Spanish
References: 16
Page: 459-461
PDF size: 120.21 Kb.


ABSTRACT

Background: iatrogenic lesions needing repair can occur during redo cardiac surgery. Lacerations of the superior vena cava in redo cardiac surgery have been underreported. There is still debate around what prosthesis is best to replace the superior vena cava. A case of superior vena cava replacement for iatrogenic injury in a case of redo mitral valve surgery is reported. Use of fresh autologous pericardium to create a total conduit restoring the continuity of the superior vena cava is described.
Clinical case: 54-year-old female with previous cardiac surgery undergoing prosthetic mitral valve replacement. During the course of the procedure, a major laceration in the superior vena cava was detected and successfully repaired by interposing a total conduit of fresh autologous pericardium.
Conclusions: use of autologous pericardium in order to make a total conduit for the superior vena cava reconstruction can be recommended because no long-term anticoagulation is required, and there is no additional economical cost and virtually no risk of infection.


REFERENCES

  1. Spaggiari L, Leo F, Veronesi G, Solli P, Galetta D, Tatani B, et al. Superior Vena Cava Resection for Lung and Mediastinal Malignancies: a Single-Center Experience With 70 Cases. Ann Thorac Surg 2007;83:223-229.

  2. Rodewald G, Guntau J, Bantea C, Kalmar P, Krebber HJ, Rödiger W, et al. The risk of reoperation in acquired valvular heart disease. Thorac Cardiovasc Surg 1980;28:77-88.

  3. Goodwin AT, Ooi A, Kitcat J, Nashef SA. Outcomes in Emergency Redo Cardiac Surgery: Cost, Benefit and Risk Assessment. Interact CardioVasc Thorac Surg 2003;2:227-230.

  4. Spaggiari L, Thomas P, Magdeleinat P, Kondo H, Rollet G, Regnard JF, et al. Superior vena cava resection with prosthetic replacement for non-small cell lung cancer: long-term results of a multicentric study. Eur J Cardiothorac Surg 2002;21:1080-1086.

  5. Spaggiari L, Leo F, Veronesi G, Solli P, Galetta D, Tatani B, et al. Superior Vena Cava Resection for Lung and Mediastinal Malignancies: a Single-Center Experience With 70 Cases. Ann Thorac Surg 2007;83:223-229.

  6. Rodewald G, Guntau J, Bantea C, Kalmar P, Krebber HJ, Rödiger W, et al. The risk of reoperation in acquired valvular heart disease. Thorac Cardiovasc Surg 1980;28:77-88.

  7. Goodwin AT, Ooi A, Kitcat J, Nashef SA. Outcomes in Emergency Redo Cardiac Surgery: Cost, Benefit and Risk Assessment. Interact CardioVasc Thorac Surg 2003;2:227-230.

  8. Spaggiari L, Thomas P, Magdeleinat P, Kondo H, Rollet G, Regnard JF, et al. Superior vena cava resection with prosthetic replacement for non-small cell lung cancer: long-term results of a multicentric study. Eur J Cardiothorac Surg 2002;21:1080-1086.

  9. Spaggiari L, Veronesi G, D'Aiuto M, Tosoni A. Superior vena cava reconstruction using heterologous pericardial tube after extended resection for lung cancer. Eur J Cardio-Thorac Surg 2004;26:649-651.

  10. Spaggiari L, Galetta D, Veronesi G, Leo F, Gasparri R, Petrella F, et al. Superior vena cava replacement for lung cancer using heterologous (bovine) prosthesis: Preliminary results. J Thorac Cardiovasc Surg 2006;131:490-491.

  11. Warren W, Piccione W Jr, Faber P. Superior Vena Cava Reconstruction Using Autologous Pericardium. Ann Thorac Surg 1998;66:291-292.

  12. Firstenberg MS, Blais D, Abel E, Go MR. Superior Vena Cava Bypass With Cryopreserved Ascending Aorta Allograft. Ann Thorac Surg 2011;91(3):905-907.

  13. Belcher E, Dusmet M, Petrou M. Radical Resection of the Superior Vena Cava Using the Contegra Bovine Jugular Vein Conduit. Ann Thorac Surg 2010;89:631-633.

  14. Okereke IC, Kesler KA, Rieger KM, Birdas TJ, Mi D, Turrentine MW, et al. Results of superior vena cava reconstruction with externally stented-polytetrafluoroethylene vascular prostheses. Ann Thorac Surg 2010;90(2):383-387.

  15. Leo F, Bellini R, Conti B, Delledonne V, Tavecchio L, Pastorino U. Superior vena cava resection in thoracic malignancies: does prosthetic replacement pose a higher risk? Eur J Cardio-Thorac Surg 2010;37(4):764-769.

  16. Sekine Y, Suzuki Y, Wada H, Yoshida S. Prosthetic Reconstruction of the Superior Vena Cava for Malignant Disease: Surgical Techniques and Outcomes. Ann Thorac Surg 2010;90:223-228.




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