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The Texas Heart Institute Journal logoLink to The Texas Heart Institute Journal
. 1999;26(4):289–291.

Coronary artery bypass and superior vena cava syndrome.

T V Thomas 1, K Masrani 1, J L Thomas 1
PMCID: PMC325666  PMID: 10653258

Abstract

Superior vena cava syndrome is the obstruction of the superior vena cava or its main tributaries by benign or malignant lesions. The syndrome causes edema and engorgement of the vessels on the face, neck, and arms, nonproductive cough, and dyspnea. We discuss the case of a 48-year-old obese diabetic woman who was admitted with unstable angina. She had previously been diagnosed with superior vena cava syndrome. Urgent coronary artery bypass grafting was necessary Although thousands of coronary artery bypasses are performed every year, there are not many reports on patients with superior vena cava syndrome who successfully undergo cardiopulmonary bypass and coronary artery grafting with an internal mammary artery as the conduit. The results of the case and alternative recommended methods are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cochrane A. D., Marath A., Mee R. B. Can a dilated coronary sinus produce left ventricular inflow obstruction? An unrecognized entity. Ann Thorac Surg. 1994 Oct;58(4):1114–1116. doi: 10.1016/0003-4975(94)90468-5. [DOI] [PubMed] [Google Scholar]
  2. Lee Y., Doering R., Jihayel A. Radiation-induced superior vena cava syndrome. Tex Heart Inst J. 1995;22(1):103–104. [PMC free article] [PubMed] [Google Scholar]
  3. Moore W. M., Jr, Hollier L. H., Pickett T. K. Superior vena cava and central venous reconstruction. Surgery. 1991 Jul;110(1):35–41. [PubMed] [Google Scholar]
  4. Rodriguez R. A., Cornel G., Semelhago L., Splinter W. M., Weerasena N. A. Cerebral effects in superior vena caval cannula obstruction: the role of brain monitoring. Ann Thorac Surg. 1997 Dec;64(6):1820–1822. doi: 10.1016/s0003-4975(97)01066-7. [DOI] [PubMed] [Google Scholar]
  5. Thomas T. V., Ransdell H. T., Jr, Borja A. Diagnostic anterior mediastinotomy. Ann Thorac Surg. 1969 Jan;7(1):47–50. doi: 10.1016/s0003-4975(10)66144-9. [DOI] [PubMed] [Google Scholar]

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