Bypass of Superior Vena Cava with Spiral Vein Graft / 대한흉부외과학회지

A 49-year-old female patient who had obstruction of superior vena cava(SVC) with SVC syndrome was successfully managed by bypass operation of superior vena cava with spiral vein graft. A composite spiral vein graft was placed between the right innominate vein and the right atrium to bypass the 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 and the edges of the vein were sutured together to form a large autogenous conduit. The patient was relieved of SVC obstructive symtoms and signs and discharged 21 days postoperatively without any complication.