Abstract
In this study, clot removal and blood vessel prosthesis implantation was effective in a patient with superior vena cava syndrome. A 53-year-old man presented with symptoms of superior vena cava syndrome, such as swelling from the head and neck area to the upper limbs, neck-vein distension, a top-heavy feeling, and a rush of blood to the head, which appeared during admission for investigation of upper abdominal discomfort. Superior vena cava syndrome caused by superior vena cava invasion by lung cancer was diagnosed, and surgery for partial dissection of the tumor, clot removal in the brachiocephalic vein and non-specific veins, and blood vessel prosthesis implantation using an 18-mm J-graft were performed as palliative therapy. The symptoms rapidly vanished, and at 6 months postoperatively no occlusion of the artificial blood vessel has been observed, with the patient maintaining good progress. The removal of clots with blood vessel prosthesis implantation for superior vena cava syndrome was effective in the present case.