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(Chest. 1965;47:323-333.)
© 1965 American College of Chest Physicians

The Superior Vena Cava Syndrome

Diagnostic and Surgical Considerations, Case Reports

Eugene L. Lowenberg M.D.1; William Hotchkiss M.D., F.C.C.P.1; and Sam McDaniel M.D., F.C.C.P.1

1 Norfolk, Virginia

Three cases of the superior vena cava syndrome are detailed, two of benign etiology and one due to malignancy. Surgery was performed to overcome the venous obstruction in the cases of benign etiology with apparent long term success in one, short lived success in the other.

The literature on superior vena cava replacement grafts and shunts in the experimental laboratory and in vivo is reviewed. The essential data of 50 recorded efforts to reverse the syndrome are tabulated.

Surgical intervention to relieve the manifestations of the superior vena cava syndrome is indicated when the etiology of the venous obstruction is a benign lesion or is the result of a slowly growing radio-resistant lesion. Either an aortic homograft or a Teflon prosthesis is suitable for the graft material.






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Copyright © 1965 by the American College of Chest Physicians.