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Superior Vena Cava Reconstruction with Homograft Conduit under Circulatory Arrest

Division of Cardiac Surgery, John Radcliffe Hospital, Oxford, United Kingdom

For reprint information contact: Balakrishnan Mahesh, FRCS Tel: 44 7951 033 090 Fax: 44 1895 828 900 Email: b.mahesh{at}imperial.ac.uk, Transplant Immunology, Heart Science Center, Harefield Hospital, Middlesex UB9 6JH, United Kingdom.

Superior vena cava obstruction may be due to benign or malignant causes. This may be treated surgically by using autologous saphenous vein grafts, autologous pericardial patches cut and reconstituted as tubes, expanded polytetrafluoroethylene grafts, or percutaneously by balloon dilatation and stenting procedures. We report a case of superior vena cava obstruction in which the obstructed segment was bypassed using a tube constructed from aortic and pulmonary homograft conduits, under hypothermic circulatory arrest without using jugulo-atrial shunts, leaving the obstructed segment in situ.