Azizzadeh Ali, Pham Mai T, Estrera Anthony L, Coogan Sheila M, Safi Hazim J
Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Heart and Vascular Institute, Houston, TX, USA.
J Vasc Surg. 2007 Sep;46(3):569-71. doi: 10.1016/j.jvs.2007.04.014.
We present the case of a patient with an iatrogenic injury to the superior vena cava during a central venous catheter placement. The vena cava was perforated when a left subclavian dialysis catheter was placed. The perforation in the right side of the vena cava occurred at the confluence of the innominate veins. This perforation was successfully repaired using a 10 mm Viabahn stent graft (W. L. Gore, Flagstaff, Ariz) delivered through a femoral approach. The stent graft was deployed as the dialysis catheter was removed. This case demonstrates the utility of stent graft repair of the superior vena cava in emergency situations.
我们报告一例在中心静脉导管置入过程中发生医源性上腔静脉损伤的患者。在置入左锁骨下透析导管时，上腔静脉被穿孔。上腔静脉右侧的穿孔发生在无名静脉汇合处。通过股动脉途径置入一枚10毫米的Viabahn覆膜支架（W.L. Gore公司，亚利桑那州弗拉格斯塔夫）成功修复了该穿孔。在移除透析导管时展开了覆膜支架。该病例证明了在紧急情况下覆膜支架修复上腔静脉的实用性。
