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(Chest. 1994;106:315-318.)
© 1994 American College of Chest Physicians

Relief of Superior Vena Cava Syndrome Due to Fibrosing Mediastinitis Using the Palmaz Stent

G. Alfred Dodds III M.D., F.C.C.P.1; J. Kevin Harrison M.D.1; Martin P. O'Laughlin M.D.1; John S. Wilson M.D.1; Katherine B. Kisslo R.D.M.S.1; and Thomas M. Bashore M.D.1

1 From the Departments of Medicine and Pediatrics, Division of Cardiology, Duke University Medical Center, Durham, NC.

Relief of superior vena cava (SVC) syndrome due to non-neoplastic mediastinal disease presents a formidable challenge. Long-term patency of surgically created bypass grafts has been poor, and the morbidity associated with these procedures is substantial. We report a case of SVC syndrome, caused by fibrosing mediastinitis, treated with Palmaz balloon expandable intravascular stents. Intravascular stents are a promising alternative for relief of non-neoplastic SVC obstruction.




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