Zhang Xiangxin, Chen Liang, Zhou Wenyong, Wang Zhexin, Wang Chong, Shi Jianxin, Yao Feng
Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, China.
Front Oncol. 2022 Oct 20;12:1026524. doi: 10.3389/fonc.2022.1026524. eCollection 2022.
Here we describe an uncommon case of a 48-year-old male patient with an invasive thymoma invading the superior vena cava, bilateral innominate veins, right internal jugular vein, right subclavian vein, right atrium, azygos vein, and part of the lung tissues. The tumor was resected entirely under cardiopulmonary bypass support, and the venous bypass using a vascular graft was successfully established between the left innominate vein and the right atrium. The postoperative course was uneventful, and the patient was discharged 15 days after surgery without complications.
在此,我们描述一例罕见病例,一名48岁男性患者患有侵袭性胸腺瘤,肿瘤侵犯上腔静脉、双侧无名静脉、右颈内静脉、右锁骨下静脉、右心房、奇静脉及部分肺组织。在体外循环支持下将肿瘤完整切除,并成功使用血管移植物在左无名静脉与右心房之间建立静脉旁路。术后病程平稳,患者术后15天出院,无并发症。