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Journals / İzmir Tıp Fakültesi Dergisi / 2026 / Cilt: 2 Sayı: 1

A Case of Thrombosis After Reconstruction of Superior Vena Cava in a Patient with Non-Small Cell Lung Cancer

Küçük Hücreli Dışı Akciğer Kanserli Hastada Vena Cava Süperior Rezeksiyonu Rekonstrüksiyonu Sonrası Gelişen Tromboz Olgusu

Nisa Yıldız(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL YEDİKULE HEALTH RESEARCH CENTER FOR PULMONOLOGY AND THORACIC SURGERY)0000-0002-3276-0050
Celal Buğra Sezen(İSTANBUL YEDİKULE GÖĞÜS HASTALIKLARI VE GÖĞÜS CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-2461-2031
Gamze Tanrıkulu(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL YEDİKULE HEALTH RESEARCH CENTER FOR PULMONOLOGY AND THORACIC SURGERY)0000-0002-4848-1566
Muzaffer Metin(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL YEDİKULE HEALTH RESEARCH CENTER FOR PULMONOLOGY AND THORACIC SURGERY)0000-0003-0804-2654
Pages
36–38
Publication Date
2023-03-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Especially in central right upper lobe tumors, if there is mediastinal invasion, adjacent vascular structures should be evaluated well, partial resection should be planned when 50% or more involvement of VKS invasion is detected, and appropriate graft selection is required.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: In this article, we will evaluate the postoperative graft complication management of our case who underwent partial vena cava superior (VCS) resection and reconstruction in lung cancer invading the the patient who underwent revision with thoracotomy for lung cancer invading the VCS in the light of the literature.
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Key Findings & Data:Case: A 50-year-old male patient was admitted to the hospital with cough and weight loss complaints.
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Conclusion & Impact:Conclusion: Especially in central right upper lobe tumors, if there is mediastinal invasion, adjacent vascular structures should be evaluated well, partial resection should be planned when 50% or more involvement of VKS invasion is detected, and appropriate graft selection is required.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:Cerrahi Anastomoz · Akciğer Kanseri · Rezeksiyon

Abstract

Aim: In this article, we will evaluate the postoperative graft complication management of our case who underwent partial vena cava superior (VCS) resection and reconstruction in lung cancer invading the the patient who underwent revision with thoracotomy for lung cancer invading the VCS in the light of the literature. Case: A 50-year-old male patient was admitted to the hospital with cough and weight loss complaints. The patient's imaging detected a mass invading the mediastinum in the right upper lobe. It was reported as squamous cell carcinoma in the biopsy taken from the bronchoscopy of the patient. Upon detecting VCS invasion of the patient who was operated on by thoracotomy, right upper lobectomy and VCS resection and graft reconstruction were performed. Due to the development of thrombosis in the early postoperative graft replacement was applied to the patient who was undergone revision. Conclusion: Especially in central right upper lobe tumors, if there is mediastinal invasion, adjacent vascular structures should be evaluated well, partial resection should be planned when 50% or more involvement of VKS invasion is detected, and appropriate graft selection is required.

Özet

Amaç: Bu makalede vena kava süperioru (VKS) invaze eden akciğer kanserinde parsiyel VKS rezeksiyonu ve rekonstrüksiyonu yaptığımız bir olgunun postoperatif dönemde gelişen greft komplikasyon yönetimi literatür eşliğinde değerlendirilecektir. Olgu: Elli yaşında erkek hasta öksürük kilo kaybı şikayetleri ile hastaneye başvurmuştur. Görüntülemelerinde sağ üst lobta mediastene invaze kitle saptanan hastanın bronkoskopi sırasında alınan biyopsisi skuamöz hücreli karsinom olarak raporlanmıştır. Torakotomi ile operasyona alınan hastanın VKS invazyonu saptanması üzerine sağ üst lobektomi ile birlikte VKS rezeksiyonu ve greft ile rekonstrüksiyon uygulanmıştır. Postoperatif erken dönem greftte tromboz gelişmesi üzerine revizyona alınan hastaya greft değişimi uygulanmıştır. Sonuçlar: Özellikle santral sağ üst lob tümörlerinde mediasten invazyonu mevcut ise komşu vasküler yapılar iyi değerlendirilmeli, VKS invazyonun %50 ve üzerinde bir tutulum saptandığında parsiyel rezeksiyonu planlanmalı ve uygun greft seçimi gerekmektedir.

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Cite This Article

Yıldız, N., Sezen, C. B., Tanrıkulu, G., Metin, M. (2023). A Case of Thrombosis After Reconstruction of Superior Vena Cava in a Patient with Non-Small Cell Lung Cancer. İzmir Tıp Fakültesi Dergisi, Cilt: 2 Sayı: 1, 36–38. https://doi.org/10.57221/izmirtip.1121592

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