Suat ERUS, Serhan TANJU, Alper TOKER

Emergency reconstruction of superior vena cava vein following biopsy of mediastinal lymphoma

Elli iki yaşındaki kadın hasta invaziv anterior mediastinal kitle ile başvurdu. Mediastinotomide frozen kesit inceleme lenfoma olarak yorumlandı. Ameliyat sonrası birinci gün sabah ani öksürükle göğüs dreninden masif kanama başladı. Hasta acil olarak ameliyathaneye alındı ve takiben median sternotomi yapıldı. Superior vena cavadaki biyopsi alanından farklı bir bölgeden kaynaklanan masif kanama tespit edildi. Anterior mediastinal kitle, komplet olarak rezeke edildi ve politetrafloroetilen greft ile superior vena kava rekonstrüksiyonu uygulandı. Hasta ameliyat sonrası dokuzuncu günde taburcu edildi. Bu olgu, bu nadiren görülen komplikasyonu nedeniyle sunuldu.

Mediastinal lenfoma biyopsisi sonrası acil süperior vena kava ven rekonstrüksiyonu

A 52-years-old female patient was admitted with an invasive anterior mediastinal mass. Frozen section analysis of the mediastinotomy revealed lymphoma. In the morning of the first day following surgery, sudden onset of massive hemorrhage induced by cough was present from the chest drain. The patient was immediately taken to the operating room and a median sternotomy was performed subsequently. Massive hemorrhage arising from another site of the biopsy site was detected. Anterior mediastinal mass was resected completely and superior vena cava reconstruction with polytetrafluoroethylene graft was performed. The patient was discharged on ninth day following surgery. We presented this case due to the rarity of this complication.

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