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July 1974

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

Author Affiliations

Bethesda, Md
From the Clinic of Surgery, National Heart and Lung Institute (Drs. Roberts, Michaelis, and Morrow), and the Department of Diagnostic Radiology, Clinical Center, National Institutes of Health (Dr. Jaffe), Bethesda, Md.

Arch Surg. 1974;109(1):84-86. doi:10.1001/archsurg.1974.01360010062015

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.

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