d'Allaines C, Farge C, Fontaine B, Desnot F, Dubost C
Nouv Presse Med. 1978 Jun 10;7(23):2067-8.
The left innominate vein may be torn during median vertical sternotomy. This tear may in fact be a disinsertion of the venous trunk from the superior vena cava. Repair of this disinsertion is difficult, with a risk of stenosis. It requires the most careful technique, after dissection of the superior vena cava on either side of the tear. It is made much more simple by the use of extracorporeal circulation, which empties and collapses the superior vena cava. Finally, it may be necessary to repair this loss of substance by enlarging it with a fragment of saphenous vein.
在正中垂直胸骨切开术期间，左无名静脉可能会被撕裂。实际上，这种撕裂可能是静脉干从 superior vena cava（上腔静脉）的附着处分离。修复这种分离很困难，存在狭窄风险。这需要最精细的技术，即在撕裂部位两侧对上腔静脉进行解剖后进行修复。通过使用体外循环，使上腔静脉排空并塌陷，修复工作会变得简单得多。最后，可能需要用一段大隐静脉扩大缺损部位来修复这种组织缺失。
