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RICCARDO BENVENUTO, M.D.; F. S. B. RODMAN, M.D.; J. GILMOUR, M.D.; A. F. PHILLIPS, M.D.; JOHN C. CALLAGHAN, M.D.

AMA Arch Surg. 1962;84(5):570-573.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Replacement of the superior vena cava has been the object of intensive and immaginative work in both the experimental and clinical fields. The results reported in the literature, however, are, in the great majority of instances, discouraging.

Homologous and heterologous aortic grafts,^1,13,16,20 arterial homografts,^14,15 caval homografts,⁶ and pericardial tubes²¹ were used with variable success. Better results were obtained with simple¹² or specia^l2,19 atriocaval anastomoses, but these techniques are not suitable for the replacement of long segments of the superior vena cava, as in the case of invasion of the vessel by tumor.

With the advent of plastic vessel substitutes, new enthusiasm arose, but it soon was clear that the answer to the problem had not yet been obtained. Nylon, Ivalon, Orlon, Dacron, Teflon, silicone rubber, and Lucite were the materials used in various studies, but the results were almost uniformly poor.^7-10,15,17 Only occasional . . . [Full Text PDF of this Article]

Author Affiliations
EDMONTON, ALTA., CANADA

From the University of Alberta Hospital.; Resident in Cardiovascular and Thoracic Surgery (Dr. Benvenuto); Internist (Dr. Rodman); Fellow in Cardiovascular Surgery (Dr. Gilmour); Radiotherapist, Division of Cancer Service (Dr. Phillips); Director of Cardiovascular and Thoracic Surgery (Dr. Callaghan), University of Alberta Hospital.

Footnotes
Received for publication July 7, 1961.

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