scholarly journals Giant Lipoma in Superior Vena Cava: A Case Report and Literature Review

2021 ◽  
Author(s):  
Tri Wisesa Soetisna ◽  
Lisca Namretta ◽  
Bagus Ronidipta ◽  
Elen Elen ◽  
Sunu Budhi Raharjo ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Median Sternotomy ◽  
Vena Cava ◽  
Case Presentation ◽  
Slow Growth Rate ◽  
Preoperative Diagnostic ◽  
Giant Lipoma ◽  
Slow Growing

Abstract Background: Intravascular lipomas were a rare occurrence, especially in major vessels. This tumor is composed of adipocytes in a fibrous capsule that had a slow growth rate and usually shows no symptoms. There were only eight reports in the literature regarding intravascular lipoma located in the superior vena cava.Case presentation: A 54-year-old man had episodes of supraventricular tachycardia and atrial flutter for over a year. Radiological findings preoperative showed a giant mass that arose from superior vena cava to right atrium and biopsy catheter showed that there were no signs of malignancy. The patient then underwent surgery through a median sternotomy and the mass was extirpated on the highest part of the stalk that could be reached. The patient was stable and remains to show no symptoms or evidence of residual mass or stalk in 2 years follow-up.Conclusion: The surgical approach in excising lipoma in SVC should be considered wisely with the support of adequate preoperative diagnostic. Extensive manipulation that could increase surgical technique difficulty or postoperative morbidity and mortality is not necessary since lipoma is a very slow-growing tumor.

Partial Anomalous Pulmonary Venous Connection: Forty-Six Years of Follow-Up

2021 ◽  
Vol 12 (1) ◽  
pp. 70-75
Author(s):  
Anne Kathrine M. Nielsen ◽  
Vibeke E. Hjortdal
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Sinus Node ◽  
Vena Cava ◽  
Node Disease ◽  
Sinus Node Disease ◽  
Patch Technique ◽  
Anomalous Pulmonary Venous Connection

Background: Surgical repair of partial anomalous pulmonary venous connection (PAPVC) may disturb the electrical conduction in the atria. This study documents long-term outcomes, including the late occurrence of atrial tachyarrhythmia and bradyarrhythmia. Methods: This retrospective study covers all PAPVC operations at Aarhus University Hospital between 1970 and 2010. Outcome measures were arrhythmias, sinus node disease, pacemaker implantation, pathway stenosis (pulmonary vein(s), intra-atrial pathway, and/or superior vena cava), and mortality. Data were collected from databases, surgical protocols, and hospital records until May 2018. Results: A total of 83 patients were included with a postoperative follow-up period up to 46 years. Average age at follow-up was 43 ± 21 years. During follow-up, new-onset atrial fibrillation or atrial flutter appeared in four patients (5%). Sinus node disease was present in nine patients (11%). A permanent pacemaker was implanted in seven patients (8%) at an average of 12.7 years after surgery. Pulmonary venous and/or superior vena cava obstruction was seen in five patients (6%). Stenosis was most prevalent in the two-patch technique, and arrhythmia was most prevalent in the single-patch technique. Sixty-seven (81%) of 83 patients had neither bradyarrhythmias nor tachyarrhythmias or pacemaker need. Conclusions: This study contributes important long-term data concerning the course of patients who have undergone repair of PAPVC. It confirms that PAPVC can be operated with low postoperative morbidity. However, late-onset stenosis, bradyarrhythmias and tachyarrhythmias, and need for pacemaker call for continued follow-up.

scholarly journals Successful Resection of a Giant Pulmonary Colloid Adenocarcinoma via Median Sternotomy

2020 ◽  
Vol 13 (3) ◽  
pp. 1097-1102
Author(s):  
Daisuke Nakamura ◽  
Ryoichi Kondo ◽  
Akiko Makiuchi ◽  
Hiroko Itagaki
Keyword(s):  
Superior Vena Cava ◽  
Lung Tumor ◽  
Mediastinal Lymph Node ◽  
Superior Vena ◽  
Median Sternotomy ◽  
Vena Cava ◽  
Cystic Mass ◽  
Field Of View ◽  
Surgical Field ◽  
The Right

We report on a giant pulmonary colloid adenocarcinoma successfully resected using a median sternotomy approach. A 69-year-old woman visited our hospital owing to a giant mass detected on chest radiography. A giant cystic mass measuring 115 × 90 mm was detected in the right upper lung using computed tomography. We suspected mucinous adenocarcinoma and performed right upper lobectomy and mediastinal lymph node dissection with median sternotomy. The surgical field of view for the tumor and superior vena cava was satisfactory, and compression but not invasion of the superior vena cava and chest wall by the tumor was observed. The tumor was pathologically diagnosed as a colloid adenocarcinoma of stage IIIA with pT4N0M0. The postoperative course was uneventful, with no signs of recurrence at one and a half years after operation. Thus, this case demonstrates that for giant lung tumor surgery, median sternotomy is useful and safe for improving the surgical field of view.

scholarly journals An unpublished case of focal infection on a vascular endoprosthesis graft

2018 ◽  
Vol 24 (1) ◽  
pp. 33-35
Author(s):  
Corentin Buron ◽  
Sylvie Boisramé ◽  
Claire De Moreuil ◽  
Alexandra Le Duc-Pennec ◽  
Rozenn Le Berre
Keyword(s):  
Superior Vena Cava ◽  
Vascular Graft ◽  
Superior Vena ◽  
Vena Cava ◽  
Prosthetic Graft ◽  
Essential Elements ◽  
Blood Cultures ◽  
Associated Lesions ◽  
Focal Infection

Observation: A patient with a prosthetic superior vena cava graft had complications of thrombosis and infection. The blood cultures were positive for Peptostreptococcus micros and Prevotella denticola. The latter are known to exist in oral cavities. Clinical and radiological examinations of the oral cavity revealed the presence of oral infectious foci. Commentary: Superior vena cava prosthetic graft infections of oral origin have not previously been described in the literature. The highlighting of oral infectious foci, their eradication, and the follow-up of patients who had been subject to a vascular graft procedures are essential elements in preventing any associated lesions.

scholarly journals Long-term follow-up after prosthetic replacement of the superior vena cava combined with resection of mediastinal-pulmonary malignant tumors

1991 ◽  
Vol 102 (2) ◽  
pp. 259-265 ◽  
Author(s):  
Philippe G. Dartevelle ◽  
Alain R. Chapelier ◽  
Ugo Pastorino ◽  
Pierre Corbi ◽  
Bernard Lenot ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Malignant Tumors ◽  
Superior Vena ◽  
Vena Cava ◽  
Prosthetic Replacement ◽  
Long Term Follow Up

Direct Femoral Cannulation in Minimal Invasive Pediatric Cardiac Surgery

2018 ◽  
Vol 13 (4) ◽  
pp. 300-304 ◽  
Author(s):  
Vivek A. Wadhawa ◽  
Kartik G. Patel ◽  
Chirag P. Doshi ◽  
Jigar K. Shah ◽  
Jaydip A. Ramani ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Superior Vena Cava ◽  
Femoral Artery ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Pediatric Cardiac Surgery

Objective One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic cannulation through the same incision has been the usual strategy, but it has the disadvantage of cluttering of the operative field. We hereby present the results of femoral cannulation in minimally invasive pediatric cardiac surgery in terms of adequacy and safety. Methods From January 2013 to June 2016, 200 children (122 males) with mean ± SD age of 9.2 ± 4.51 years (median = 6 years, range = 3–18 years) and weight of 19.22 ± 8.49 kg (median = 15 kg, range = 8–45 kg) were operated for congenital cardiac defects through anterolateral thoracotomy. The most common diagnosis was atrial septal defect (144 patients). In all the patients, femoral artery and femoral vein were cannulated along with direct superior vena cava cannulation for institution of cardiopulmonary bypass. Results There were no deaths or any major complications related to femoral cannulation. Femoral artery cannulation provided adequate arterial inflow, whereas femoral vein with direct superior vena cava cannulation provided adequate venous return in all the patients. No patient required vacuum-assisted venous drainage. No patient required conversion to sternotomy or developed vascular, neurological complications. At discharge and at 1-year follow-up, both femoral artery and vein were patent without a significant stenosis on color Doppler ultrasonography in all the patients. At mean ± SD follow-up period of 30.63 ± 10.09 months, all the patients were doing well without any wound-related, neurological, or vascular complications. Conclusions Femoral arterial and venous cannulation is a feasible, reliable, and efficient method for institution of cardiopulmonary bypass in minimally invasive pediatric cardiac surgery.

scholarly journals Endovascular therapy of acute tumour-related obstruction of the superior vena cava using a self-expanding Nitinol stent

2013 ◽  
Vol 17 (4) ◽  
pp. 123-127
Author(s):  
Peter Kamusella ◽  
Christian Wissgott ◽  
Reimer Andresen
Keyword(s):  
Superior Vena Cava ◽  
Endovascular Therapy ◽  
Superior Vena Cava Syndrome ◽  
Tumour Progression ◽  
Superior Vena ◽  
Vena Cava ◽  
Bronchial Carcinoma ◽  
Nitinol Stent ◽  
Vena Cava Syndrome

Objective: To evaluate, in a retrospective study, the clinical efficacy and safety of the self-expanding Nitinol stent in the superior vena cava to alleviate upper venous congestion.Method: In 22 patients (15 men, 7 women), a tumour-related compression of the superior vena cava was diagnosed by spiral CT after intravenous application of contrast medium. Clinically, acute superior vena cava syndrome was found in all patients. Histologically, a bronchial carcinoma was present in 14/22, a lymphoma in 6/22, and mediastinal lymphnode metastases (1 breast carcinoma, 1 malignant melanoma) in 2/22. After a transfemoral approach, cavography was initially performed. The degree of stenosis was classified according to the Stanford classification. In accordance with the degree of stenosis, a self-expanding Nitinol stent was placed.Results: Endovascular stent implantation was conducted without complications in all patients. A marked improvement in acute symptoms was observed clinically within 24 hours in all patients. In the follow-up period of up to 2 years, there were no cases of stent migration. In 7/22 patients, the CT follow-ups revealed tumour progression (3/7 after 3 months, 2/7 after 6 months, and 2/7 after 12 months) with evidence of residual stenosis caused by tumour growth through the stent mesh. During the follow-up period, 15/22 patients died (mean survival 6.4 months).Conclusion: Self-expanding Nitinol stents provide endovascular therapy for superior vena cava syndrome, having a high radial expansive force and the facility to be placed precisely, and alleviating acute, life-threatening symptoms in the palliative situation.

scholarly journals Anomalous right-sided pulmonary venous connection to the superior vena cava

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Kiumars Abbasi ◽  
Ali Abbasi ◽  
Mokhtar Tazik ◽  
Abbas Salehiomran ◽  
Ali Kazemisaeed ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Superior Vena Cava ◽  
Septal Defect ◽  
Superior Vena ◽  
Vena Cava ◽  
Good Health ◽  
Anomalous Pulmonary Vein ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection

Over the years, different techniques have been introduced for the repair of sinus venosus atrial septal defect (ASD) with anomalous right-sided pulmonary venous connection to the superior vena cava. We report the case of a 9- year-old girl, who presented with dyspnea and peripheral cyanosis. Preoperative echocardiography and angiography findings suggested a partial anomalous pulmonary venous connection. On cardiopulmonary bypass, the ASD was dilated, and the anomalous pulmonary vein was anastomosed to the right atrium and redirected to the left atrium using an intraatrial baffle and a tube graft. The intraoperative and postoperative periods were uneventful, and the patient is currently in good health at 4.5 years’ follow-up.

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