The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Effective treatment of superior vena cava syndrome with expandable metallic stent ; a case report
Keitaro InazawaHiroyuki OoizumiKatsuhiko AoyamaYoshihiro YukiHiroyuki OritaMasahiko Washio
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1993 Volume 7 Issue 6 Pages 705-709

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Abstract

We describe the successful management of superior vena cava syndrome (SVCS) associated with metastatic lung tumor expanding into the mediastinum. We used a self-expandable metallic stent, Gianturco type.
A 19-year-old man underwent partial resection of the left femur for osteosarcoma. Chemotherapy was administrated. Two years later, metastatic tumors were found in the right lung. A few partial resections were performed. After 1 year, facial edema occurred and extended to his neck and arms, causing marked discomfort. We inserted a Gianturco self-expandable metallic stent into the SVC. Edema of face and upper extremities was relieved. With this stent it was very easy to treat SVCS. It is recommended for the palliative treatment of endstage metastatic lung tumor.

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