Four-Year Patency of PTFE Grafts after Replacement of the Superior Vena Cava and the Innominate Veins

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RESUMO

We describe a simpler alternative to treating vena cava syndrome with composite spiral vein grafts. Instead, we used 2 polytetrafluoroethylene (PTFE) grafts to replace the resected superior vena cava and innominate veins of a man with a malignant thymoma. Both grafts have remained patent more than 4 years after surgery, and the patient has continued asymptomatic and free of malignancy. Therefore, we recommend using PTFE grafts to replace the great veins of the thorax. (Texas Heart Institute Journal 1988;15:192-194)

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