Cardiovascular surgery department, La Rabta Teaching Hospital, Faculty of medicine of Tunis, University of Tunis El Manar, Jabbari Street, 1007 Tunis, Tunisia.
Cardiovascular surgery department, La Rabta Teaching Hospital, Faculty of medicine of Tunis, University of Tunis El Manar, Jabbari Street, 1007 Tunis, Tunisia.
J Med Vasc. 2021 Feb;46(1):9-12. doi: 10.1016/j.jdmv.2020.11.001. Epub 2020 Dec 2.
Superior vena cava syndrome is the clinical expression of the obstruction of the superior vena cava reducing the blood flow. Malignant etiologies are the most common. Its management is multidisciplinary and despite the progress of endovascular procedures, conventional surgery retains its place in certain indications. Mediastinal fibrosis secondary to tuberculosis lymphadenopathy may be associated with superior vena cava syndrome. In the presence of symptomatic SVCS associated with extensive mediastinal fibrosis compressing the superior vena cava with sub occlusive thrombosis, conventional surgery remains a treatment option, with cavo-venous derivation by prosthetic bypass.
上腔静脉综合征是上腔静脉阻塞导致血流减少的临床表现。恶性肿瘤是最常见的病因。其治疗需要多学科参与，尽管血管内介入治疗取得了进展，但传统手术在某些适应证中仍占有一席之地。结核性淋巴结病引起的纵隔纤维化可能与上腔静脉综合征有关。对于伴有广泛纵隔纤维化、上腔静脉受压并伴有亚闭塞性血栓形成的症状性 SVCS，传统手术仍然是一种治疗选择，可通过人造旁路进行腔静脉静脉转流。
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