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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1982-5-27
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pubmed:abstractText |
Ten patients had operations for obstruction of the superior vena cava (SVC) with SVC syndrome. Four patients had fibrosing mediastinitis and six and had bronchogenic carcinoma. A composite spiral vein graft was placed between the left jugular--subclavian vein and the right atrium to bypass the completely occluded SVC. The graft was constructed from the patient's own saphenous vein, which was split longitudinally and wrapped around a stent in spiral fashion. The edges of the vein were sutured together to form a large autogenous conduit. All patients were immediately relieved of SVC obstructive symptoms and signs. All grafts were patient at 7 days to 18 months, as determined by conventional or radionuclide venography or contrast-enhanced computerized axial tomography. The fact that SVC syndrome has not returned in any patient implies long-term patency. All patients with benign disease continue asymptomatic 3 months to 6 years after operation and have returned to gainful employment. All patients with SVC obstruction resulting from cancer died 1 to 21 months (mean 10.7 months) postoperatively. Spiral vein bypass graft provides effective treatment for SVC obstruction with immediate and long-term relief of SVC syndrome.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0022-5223
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
83
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
326-38
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7038314-Adult,
pubmed-meshheading:7038314-Brachiocephalic Veins,
pubmed-meshheading:7038314-Constriction, Pathologic,
pubmed-meshheading:7038314-Heart Atria,
pubmed-meshheading:7038314-Humans,
pubmed-meshheading:7038314-Jugular Veins,
pubmed-meshheading:7038314-Lung Neoplasms,
pubmed-meshheading:7038314-Male,
pubmed-meshheading:7038314-Mediastinitis,
pubmed-meshheading:7038314-Methods,
pubmed-meshheading:7038314-Middle Aged,
pubmed-meshheading:7038314-Saphenous Vein,
pubmed-meshheading:7038314-Syndrome,
pubmed-meshheading:7038314-Vena Cava, Superior
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pubmed:year |
1982
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pubmed:articleTitle |
Bypass of superior vena cava: Six years' experience with spiral vein graft for obstruction of superior vena cava due to benign and malignant disease.
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pubmed:publicationType |
Journal Article
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