Off-Pump Superior Vena Cava Surgery
This is the case of a 59-year-old woman affected by B3/C thymoma. Chemotherapy was complicated by hematological disorders and discontinued after two cycles. She had a partial response to radiotherapy prior to surgery. She then underwent median sternotomy, off-pump left innominate vein reconstruction with an 8 mm Dacron graft, and SVC reconstruction with a 12 mm Dacron graft. On postoperative day two, the SVC graft was revised because of thrombosis. The authors performed Fogarty catheterization of the right jugular and subclavian vein, but subsequently replaced the SVC graft with a 16 mm Dacron graft. The pathologist reported an R0 resection of the thymic cancer.
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