# Brachiocephalic Vein Reconstruction Following the Excision of a Large Suspicious Anterior Mediastinal Mass

## TL;DR

A 58-year-old patient with a large mediastinal mass causing superior vena cava syndrome was successfully treated with mass excision and brachiocephalic vein reconstruction using a synthetic graft.

## Contribution

This case report presents a successful surgical approach for managing SVCS caused by a large mediastinal mass.

## Key findings

- The patient's SVCS symptoms were caused by a large anterior mediastinal mass.
- Surgical excision of the mass and brachiocephalic vein reconstruction using a synthetic graft resolved the condition.
- The patient experienced symptom relief following the procedure.

## Abstract

Superior vena cava syndrome (SVCS) is a clinical condition characterized by signs and symptoms resulting from the blockage or narrowing of the thin-walled superior vena cava (SVC). This obstruction can lead to significant morbidity and mortality. In this case, we report a 58-year-old patient who was diagnosed with SVCS due to a massive compressing anterior mediastinal mass leading to signs and symptoms of SVCS, including shortness of breath, dizziness, palpitations, and neck swelling, which was managed surgically by excision of the mass and reconstruction of the brachiocephalic vein using a synthetic graft.