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Cystic Medial Necrosis: A Correctable Cause of the Superior Vena Cava Syndrome

Cystic Medial Necrosis: A Correctable Cause of the Superior Vena Cava Syndrome Abstract Twenty-five percent (3/12) of patients recently operated on for ascending aortic aneurysms secondary to cystic medial necrosis had significant obstruction of the superior vena cava that was corrected by repair of the aneurysm. Roentgenograms are useful in outlining the mechanism of obstruction. References 1. Banker VP, Maddison FE: Superior vena cava syndrome secondary to aortic disease: Report of two cases and review of the literature . Dis Chest 51:656-662, 1967.Crossref 2. MacLeod M, Williams AW: The cardiovascular lesions in Marfan's syndrome . Arch Pathol 61:143-151, 1956. 3. McIntyre FT, Sykes EM Jr: Obstruction of the superior vena cava: Review of the literature and report of two personal cases . Ann Intern Med 30:925-960, 1949.Crossref 4. Figley MM: Angiocardiography in valvular heart disease: Morphologic and volumetric considerations . Radiol Clin North Am 2:409-423, 1964. 5. Strax TE, Ryvicker MJ, Elquezabal A: Superior vena caval syndrome due to a mediastinal hematoma secondary to a dissecting aortic aneurysm . Dis Chest 55:338-341, 1969.Crossref 6. Wheat MW, Boruchow IB, Ramsey HW: Surgical treatment of aneurysms of the aortic root . Ann Thorac Surg 12:593-694, 1971.Crossref 7. Trinkle JK, Mobin-Uddin K, Bryant LR: Primary anastomoses of aneurysms of the ascending aorta caused by cystic medial necrosis . J Thorac Cardiovasc Surg 62:281-284, 1971. 8. Edwards WS, Kerr AR: A safer technique for replacement of the entire ascending aorta and aortic valve . J Thorac Cardiovasc Surg 59:837-839, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Cystic Medial Necrosis: A Correctable Cause of the Superior Vena Cava Syndrome

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01360010062015
Publisher site
See Article on Publisher Site

Abstract

Abstract Twenty-five percent (3/12) of patients recently operated on for ascending aortic aneurysms secondary to cystic medial necrosis had significant obstruction of the superior vena cava that was corrected by repair of the aneurysm. Roentgenograms are useful in outlining the mechanism of obstruction. References 1. Banker VP, Maddison FE: Superior vena cava syndrome secondary to aortic disease: Report of two cases and review of the literature . Dis Chest 51:656-662, 1967.Crossref 2. MacLeod M, Williams AW: The cardiovascular lesions in Marfan's syndrome . Arch Pathol 61:143-151, 1956. 3. McIntyre FT, Sykes EM Jr: Obstruction of the superior vena cava: Review of the literature and report of two personal cases . Ann Intern Med 30:925-960, 1949.Crossref 4. Figley MM: Angiocardiography in valvular heart disease: Morphologic and volumetric considerations . Radiol Clin North Am 2:409-423, 1964. 5. Strax TE, Ryvicker MJ, Elquezabal A: Superior vena caval syndrome due to a mediastinal hematoma secondary to a dissecting aortic aneurysm . Dis Chest 55:338-341, 1969.Crossref 6. Wheat MW, Boruchow IB, Ramsey HW: Surgical treatment of aneurysms of the aortic root . Ann Thorac Surg 12:593-694, 1971.Crossref 7. Trinkle JK, Mobin-Uddin K, Bryant LR: Primary anastomoses of aneurysms of the ascending aorta caused by cystic medial necrosis . J Thorac Cardiovasc Surg 62:281-284, 1971. 8. Edwards WS, Kerr AR: A safer technique for replacement of the entire ascending aorta and aortic valve . J Thorac Cardiovasc Surg 59:837-839, 1971.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1974

References