Bypass Using Autologous Pericardium in the Inflammatory Pseudotumor of the Superior Vena Cava

Among the causes of superior vena cava (SVC) syndrome, intraluminal tumor, especially the inflammatory pseudotumor is very rare. We report a 33-year old male patient who had been suffering from facial edema and flushing for 3 weeks before admission. On physical examination, facial edema and venous engorgement on upper extremities and upper chest wall were showed. The chest computed tomography (CT) scan showed a long intraluminal mass lesion resulting in a near total obstruction of the SVC. Surgery was performed through median sternotomy. After complete resection of the tumor, we make bypass of SVC with autologous pericardium. The follow up chest CT scan revealed no abnormality 3 months after the operation.