In this case we represent patient with CKD and ESRD undergone chronic dialysis with catheter came with sepsis and SVC syndrome undergone SVC reconstruction with Homograft procured in our transplantation unit and autologous pericardial patch of the patient abd TV repair and pulmonary valve Vegetation removal and perforation site repair. Sam Zeraatiannejaddavani attending professor of Cardiovascular Surgery and dean of faculty of transplantation.
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