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Management of superior vena cava obstruction syndrome due to thrombosis of a Contegra conduit used to re-establish the innominate vein-to-right atrium continuity

Departments of Cardiac Surgery and Paediatric Cardiology, Glenfield Hospital, University Hospitals of Leicester, Groby Rd, Leicester LE3 9QP, UK

*Corresponding author. Tel./fax: +44-116-2871471.

E-mail address: Gangzoom{at}yahoo.co.uk (G. Xu).

Following intraoperative superior vena cava injury, venous drainage of the head, neck and upper extremities can be re-established with bovine jugular vein (Contegra) conduits. Inadequate anticoagulation, however, may lead to conduit thrombosis and superior vena cava obstruction syndrome. This can be successfully treated with percutaneous dilatation and stenting of the failed conduit.

Key Words: Contegra conduit; Superior vena cava obstruction syndrome; Innominate vein damage