Department of Cardiovascular Surgery, West China Hospital, Sichuan University, No.37 Guo Xue Alley, Chengdu, 610041, China.
BMC Surg. 2021 Mar 17;21(1):136. doi: 10.1186/s12893-021-01135-0.
Giant superior vena cava (SVC) aneurysm in non-obstructed supracardiac total anomalous pulmonary venous connection (TAPVC) is even more rare than in obstructed one, and this combination has not been reported.
Here we reported a 29-year-old young lady with non-obstructed TAPVC complicated with a giant SVC aneurysm. Routine TAPVC correction and tricuspid valve repair were done. Additionally, venoctomy was carried out to seek for its histological etiology and to avoid potential complications.
If confirmed by further and larger experiences, for patients with non-obstructed supracardiac TAPVC with giant SVC aneurysm, surgical treatment of SVC aneurysm could be more aggressive to prevent cardiovascular complications.
非阻塞性心上型完全性肺静脉异位引流（TAPVC）合并巨大上腔静脉（SVC）瘤更为罕见，目前尚未见相关报道。
本例报道了一位 29 岁女性患者，患有非阻塞性 TAPVC 合并巨大 SVC 瘤。我们对其行常规 TAPVC 矫正术和三尖瓣修复术。此外，还进行了静脉切除术，以寻找其组织病理学病因并避免潜在的并发症。
如果进一步的大样本经验证实，对于非阻塞性心上型 TAPVC 合并巨大 SVC 瘤的患者，SVC 瘤的手术治疗可以更加激进，以预防心血管并发症。
