Bilateral brachiocephalic vein and superior vena cava reconstruction with an aortic allograft

Publication date: Available online 21 June 2019Source: The Annals of Thoracic SurgeryAuthor(s): Jeff Tyner, Sam Baradarian, Bruce Armstrong, Stephanie CutterAbstractMalignant thymoma can be invasive and may at times require radical resection. Here we present a case with phrenic nerve, right upper lobe, bilateral brachiocephalic vein and superior vena cava involvement. Total venous reconstruction was carried out with a cryopreserved aortic allograft by using the aortic root, ongoing transverse arch and innominate arterial branch. The patient then had postop radiation therapy for a total of 63 Gy over 35 treatment days. Follow up imaging demonstrates no evidence of recurrence and intermediate term patency but with homograft calcification developing at 4 years.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research