Anaya-Ayala Javier E, Charlton-Ouw Kristofer M, Kaiser Christy L, Peden Eric K
Department of Cardiovascular Surgery, The Methodist Hospital, Houston, TX.
Ann Vasc Surg. 2009 Jan-Feb;23(1):139-41. doi: 10.1016/j.avsg.2008.02.016. Epub 2008 May 27.
Superior vena cava (SVC) hemorrhage due to iatrogenic injury is an infrequent but important event. We report the case of a 56-year-old woman with a history of right pneumonectomy for lung cancer with iatrogenic SVC injury and hemorrhage. After unsuccessful attempts at suture repair of the defect, an endovascular approach using a stent graft succeeded in controlling hemorrhage while maintaining vessel patency. To our knowledge, this is the third report of SVC hemorrhage control using this technique, and it supports the experience of other authors that endovascular stenting is an effective means of treating emergent venous hemorrhage.
医源性损伤导致的上腔静脉（SVC）出血虽不常见但很重要。我们报告一例56岁女性病例，该患者有因肺癌行右肺切除术史，术中发生医源性SVC损伤并出血。在尝试缝合修复缺损未成功后，采用血管内支架植入术成功控制了出血，同时保持了血管通畅。据我们所知，这是第三例使用该技术控制SVC出血的报告，它支持了其他作者的经验，即血管内支架置入术是治疗急性静脉出血的有效手段。
