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J Thorac Cardiovasc Surg 2004;127:1819-1821
© 2004 The American Association for Thoracic Surgery

Brief communication

Superior vena cava stenosis: A delayed BioGlue complication

George C. Economopoulos, MDa,*, George K. Dimitrakakis, MDa, E. Brountzos, MDb, D.A. Kelekis, MDb

a Department of Cardiac Surgery, Metropolitan Hospital, North Faliro, Greece,
b Department of Radiology, University of Athens Medical School, Athens, Greece.

Received for publication November 29, 2003; accepted for publication December 16, 2003.

* Address for reprints: George C. Economopoulos, MD, Director, Cardiac Surgery, Metropolitan Hospital, 9 E Makariou and 1 E Venizelou Sts, Neo Faliro 18547, Greece
geconomo@otenet.gr

The first 20% of the full text of this article appears below.

We report a case of superior vena cava (SVC) stenosis with upper body venous hypertension after application of biologic glue in the vicinity of the SVC after a double valve replacement and an annuloplasty procedure. The SVC stenosis was managed successfully with balloon dilatation and stent placement.

Clinical summary

A 63-year-old man was scheduled for double (aortic and mitral) valve replacement and tricuspid valve annuloplasty. Bicaval cannulation was performed through the right atrial appendage for the SVC and the atriocaval junction for the inferior vena cava; standard ascending aortic cannulation was also performed. Antegrade and retrograde cold blood cardioplegia with moderate core hypothermia (30°C) constituted the cardioprotective strategy. The exposure of mitral and tricuspid valves was obtained through a superior transseptal approach; exposure of the aortic valve was obtained through a transverse aortotomy. After the mitral . . . [Full Text of this Article]




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