Bongiolatti Stefano, Massi Daniela, Maio Vincenza, Gonfiotti Alessandro, Viggiano Domenico, Voltolini Luca
1 Thoracic Surgery Unit, University Hospital Careggi, Florence, Italy.
2 Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Italy.
Asian Cardiovasc Thorac Ann. 2018 Mar;26(3):224-226. doi: 10.1177/0218492318760693. Epub 2018 Feb 14.
We report a case of intravenous lobular capillary hemangioma in the subclavian vein, causing venous thoracic outlet syndrome. A 32-year-old woman was referred to our unit with facial and left arm oedema. Ultrasound evaluation, computed tomography and magnetic resonance imaging showed a hypervascular mass in the middle portion of the subclavian vein, with arrest of venous flow. Through an infraclavicular approach, we excised the venous axis with the endovascular palpable tumour that extended from the axillary-subclavian junction to the jugular-subclavian junction, without reconstruction. The postoperative period was uneventful. The patient recovered well without recurrence at one year from surgery.
我们报告一例发生于锁骨下静脉的静脉内小叶状毛细血管瘤,导致静脉型胸廓出口综合征。一名32岁女性因面部及左臂水肿转诊至我科。超声评估、计算机断层扫描和磁共振成像显示锁骨下静脉中部有一高血管性肿块,静脉血流停滞。通过锁骨下途径,我们切除了包含从腋-锁骨交界处延伸至颈-锁骨交界处的可触及血管内肿瘤的静脉轴,未进行重建。术后恢复顺利。患者术后一年恢复良好,无复发。