Dall'Antonia F, Rossi M, Geremia U, Mazzilli G, Turturo F, Flangini S, Fiazza G
Chir Ital. 1978 Oct;30(5):456-71.
The vena cava is the seat of obstructive disorders for which direct reparative surgery may sometimes become necessary. S.C.S. is mainly caused by neoplastic invasions or, in the case of the inferior vena cava, by progression of phlebothrombosis of the lower limbs. Prosthesis or autologous substitution and thrombointimectomy are specifically indicated in the two cases respectively. The two methods are described in detail and exemplified through the authors' personal cases consisting in an inferior caval thrombointimectomy and four superior caval by passes. It is concluded that surgical procedures are effective when the primitive disorder can be dominated and the thrombosis is not excessively extensive.
腔静脉是阻塞性疾病的发病部位，有时可能需要进行直接修复手术。上腔静脉综合征主要由肿瘤侵犯引起，而下腔静脉的情况则是下肢静脉血栓形成进展所致。在这两种情况下，分别特别适用假体或自体替代以及血栓内膜切除术。文中详细描述了这两种方法，并通过作者的个人病例进行举例，其中包括一例下腔静脉血栓内膜切除术和四例上腔静脉搭桥术。得出的结论是，当原发性疾病能够得到控制且血栓范围不过度广泛时，手术治疗是有效的。
