Anderson R P, Li W I
Ann Thorac Surg. 1983 Jul;36(1):85-8. doi: 10.1016/s0003-4975(10)60656-x.
Following resection of a leiomyosarcoma, the superior vena cava (SVC) was successfully replaced by means of a spiral graft constructed from autogenous saphenous vein. This technique has previously been applied only as a bypass operation in patients with total occlusion of the SVC causing SVC syndrome. Our patient had mild SVC obstruction and absence of venous hypertension in the upper body before the operation in which segmental SVC replacement was employed. She has remained free from signs or symptoms of SVC obstruction, and graft patency was demonstrated ten months after operation. The literature concerning use of the spiral graft is reviewed, and our operative technique is described. Use of a spiral vein graft should be considered whenever large veins must be replaced.
在切除平滑肌肉瘤后，成功地用自体大隐静脉构建的螺旋状移植物替换了上腔静脉（SVC）。该技术以前仅作为上腔静脉完全闭塞导致上腔静脉综合征患者的旁路手术应用。我们的患者在进行节段性上腔静脉置换手术前，上腔静脉存在轻度梗阻且上身无静脉高压。她一直没有上腔静脉梗阻的体征或症状，术后十个月显示移植物通畅。本文回顾了有关螺旋状移植物使用的文献，并描述了我们的手术技术。每当必须替换大静脉时，都应考虑使用螺旋状静脉移植物。
