A 71-year-old man presented with squamous-cell carcinoma involving the superior vena cava, upper lobe bronchus and pulmonary artery (Fig. 1 ). We performed SVC replacement by a stapled-pericardial conduit and a double sleeve-resection of the bronchus and pulmonary artery. One year later (Fig. 2 ) all anastomosis are patent and the patient is free from disease.
Computed tomography with injection of contrast material; volume rendering reconstruction. Preoperative images. A large tumor mass is evident in the right upper lobe associated with a tumor bud in the SVC (arrows) and a long thrombus in the left innominate vein (asterisk).
Computed tomography with injection of contrast material; volume rendering reconstruction. One-year postoperative images: (A) the full patency of the pulmonary artery and bronchus are demonstrated; the arrow indicates the pulmonary artery anastomosis and the arrowhead indicates the bronchial anastomosis. (B) Three-dimensional reconstruction showing excellent alignment and patency of the stapled SVC prosthesis (asterisk).
