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侵袭性胸腺瘤所致上腔静脉综合征的外科治疗

Surgical treatment of superior vena cava syndrome caused by invasive thymoma.

作者信息

Rosa George Ronald Soncini da, Takizawa Ney, Schimidt Douglas, Sugita Mitur

机构信息

Cardiovascular Surgery Department, Hospital Sugisawa, Curitiba, Parana, Brazil.

出版信息

Rev Bras Cir Cardiovasc. 2010 Apr-Jun;25(2):257-60. doi: 10.1590/s0102-76382010000200022.

Abstract

We report on a case of a 57 years-old white male, patient, who presented superior vena cava syndrome (SVC) for 3 months, derived from an invasive thymoma in the medium and anterior mediastinum, compromising intrinsic and extrinsic to the SVC. After evaluation by computed tomography and magnetic angioresonance of the thorax, the patient underwent radical resection of the thymoma--bypass from left subclavian vein to right atrium, using polytetrafluoroethylene tube. Relevant case of invasive thymoma causing the occlusion of SVC. The clinic evolution of the patient after 7 months was considered satisfactory.

摘要

我们报告了一例57岁的白人男性患者,该患者出现上腔静脉综合征(SVC)3个月,病因是中纵隔和前纵隔的侵袭性胸腺瘤,累及上腔静脉的内在和外在结构。经胸部计算机断层扫描和磁共振血管造影评估后,患者接受了胸腺瘤根治性切除术——使用聚四氟乙烯管从左锁骨下静脉至右心房进行搭桥。这是一例侵袭性胸腺瘤导致上腔静脉闭塞的相关病例。患者7个月后的临床进展情况令人满意。

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