The Heart Surgery Forum, Volume 6, Issue 3

Superior Vena Cava Obstruction Bypass - An Alternative Technique Using Bovine Pericardial Conduit: A Case Report

(#2002-42302 . . . January 15, 2003)

Fikri Abdullah, FRCS, Syed Adeeb, MS

Cardiothoracic Unit, University Hospital UKM, Kuala Lumpur, Malaysia

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ABSTRACT

An alternative technique of superior vena cava obstruction bypass using bovine pericardial conduit is described. The patient in this case had recurrent bilateral thrombophlebitis and thrombosed saphenous veins. Most of the surgical techniques reported in the literature so far have described the use of polyethylene terephthalate (Dacron) graft, polytetrafluoroethylene graft, autologous pericardial patch, and spiral vein graft. The use of synthetic grafts has been plagued with high rates of thrombosis. The pathology, clinical presentation, surgical technique, and outcome are discussed.

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